Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $245.47 / $416.87	Facility		$75.86	$245.47	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $275.42	Professional		$51.29	$75.86	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $758.58	Professional		$190.55	$338.84	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $114.82 / $257.04	Facility		$109.65	$114.82	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $77.62 / $95.50	Professional		$37.15	$77.62	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $138.04	Professional		$131.83	$131.83	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $114.82	Professional		$28.18	$42.66	$114.82