Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $1,047.13	Facility		$125.89	$125.89	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $138.04	Professional		$89.13	$128.82	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $1,148.15	Professional		$123.03	$181.97	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $288.40 / $645.65	Facility		$275.42	$288.40	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $380.19 / $1,318.26	Professional		$77.62	$380.19	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $346.74	Professional		$194.98	$295.12	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $162.18	Professional		$57.54	$75.86	$162.18