Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.33 / $1,535.00 / $3,175.00	Facility		$419.33	$1,535.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $173.28 / $419.33	Professional		$173.28	$173.28	$419.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.59 / $217.55 / $745.03	Professional		$199.59	$217.55	$745.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.31 / $285.58 / $700.70	Professional		$157.31	$285.58	$700.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.07 / $383.96 / $383.96	Professional		$185.07	$383.96	$383.96
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 $161.57 / $340.22 / $454.46	Professional		$161.57	$340.22	$454.46