Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.12 / $1,614.00 / $4,100.00	Facility		$94.12	$1,614.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $89.89 / $133.35	Professional		$36.32	$89.89	$133.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $44.72 / $660.00	Professional		$44.72	$44.72	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $96.01 / $255.34	Professional		$41.48	$96.01	$255.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.82 / $208.76 / $208.76	Professional		$91.82	$208.76	$208.76
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 $54.49 / $170.14 / $247.09	Professional		$54.49	$170.14	$247.09