Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $831.76 / $1,380.38	Facility		$251.19	$831.76	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $512.86	Professional		$107.15	$117.49	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $1,288.25	Professional		$104.71	$154.88	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $245.47 / $549.54	Facility		$234.42	$245.47	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $602.56	Professional		$93.33	$102.33	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $295.12	Professional		$165.96	$251.19	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $316.23	Professional		$87.10	$93.33	$316.23