Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $457.09	Facility		$54.95	$54.95	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $245.47	Professional		$54.95	$69.18	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $165.96 / $1,174.90	Professional		$60.26	$165.96	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $125.89 / $281.84	Facility		$120.23	$125.89	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $165.96 / $575.44	Professional		$44.67	$165.96	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $151.36	Professional		$85.11	$141.25	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $123.03	Professional		$30.90	$41.69	$123.03