Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.73 / $1,632.59 / $4,100.00	Facility		$49.73	$1,632.59	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $108.12 / $108.12	Professional		$49.73	$108.12	$108.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $55.58 / $660.00	Professional		$41.36	$55.58	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $101.30 / $221.39	Professional		$47.63	$101.30	$221.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $223.94 / $223.94	Professional		$103.75	$223.94	$223.94
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 $85.59 / $154.21 / $261.10	Professional		$85.59	$154.21	$261.10