Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $870.96 / $3,162.28	Facility		$125.89	$870.96	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $234.42	Professional		$67.61	$125.89	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $338.84 / $977.24	Professional		$74.13	$338.84	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $251.19	Professional		$63.10	$104.71	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $257.04	Professional		$120.23	$125.89	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,698.24	Facility		$213.80	$549.54	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $218.78	Professional		$63.10	$107.15	$218.78