Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $489.78 / $1,288.25	Facility		$154.88	$489.78	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $588.84	Professional		$125.89	$158.49	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $1,479.11	Professional		$380.19	$660.69	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $794.33	Facility		$338.84	$354.81	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $239.88 / $302.00	Professional		$114.82	$239.88	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $223.87	Professional		$81.28	$114.82	$223.87