Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.68 / $3,575.00 / $5,897.50	Facility		$135.68	$3,575.00	$5,897.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $117.45 / $135.68	Professional		$64.39	$117.45	$135.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $77.81 / $1,575.00	Professional		$77.81	$77.81	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $121.73 / $230.09	Professional		$63.78	$121.73	$230.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.86 / $300.92 / $358.32	Professional		$152.86	$300.92	$358.32
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 $107.44 / $135.91 / $347.74	Professional		$107.44	$135.91	$347.74