Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.26 / $310.55 / $642.72	Facility		$99.26	$310.55	$642.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $132.96 / $251.46	Professional		$99.26	$132.96	$251.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $88.96 / $660.00	Professional		$85.25	$88.96	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $223.98 / $352.95	Professional		$99.16	$223.98	$352.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.34 / $296.35 / $296.35	Professional		$221.34	$296.35	$296.35
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 $122.66 / $265.51 / $358.80	Professional		$122.66	$265.51	$358.80