Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.99 / $1,793.00 / $4,100.00	Facility		$158.99	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $148.49 / $158.99	Professional		$139.68	$148.49	$158.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $174.99 / $174.99 / $1,021.00	Professional		$174.99	$174.99	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.87 / $151.66 / $413.28	Professional		$138.87	$151.66	$413.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.31 / $358.45 / $426.81	Professional		$186.31	$358.45	$426.81
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.62 / $163.28 / $414.21	Professional		$131.62	$163.28	$414.21