Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $501.19 / $1,023.29	Facility		$123.03	$501.19	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $602.56	Professional		$123.03	$128.82	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $1,513.56	Professional		$389.05	$676.08	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $281.84 / $630.96	Facility		$269.15	$281.84	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $190.55 / $239.88	Professional		$91.20	$190.55	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $229.09	Professional		$69.18	$100.00	$229.09