Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $213.80 / $234.42	Facility		$25.70	$213.80	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $26.92 / $48.98	Professional		$10.00	$26.92	$48.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $295.12	Professional		$75.86	$134.90	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $60.26 / $134.90	Facility		$57.54	$60.26	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $40.74 / $51.29	Professional		$19.50	$40.74	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $72.44	Professional		$63.10	$63.10	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $45.71	Professional		$15.14	$21.38	$45.71