Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,584.89 / $4,073.80	Facility		$165.96	$1,584.89	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $407.38	Professional		$114.82	$162.18	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $977.24	Professional		$112.20	$165.96	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $380.19	Professional		$107.15	$208.93	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $371.54	Professional		$181.97	$263.03	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $5,128.61	Facility		$741.31	$1,737.80	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $331.13	Professional		$109.65	$186.21	$331.13