Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $251.19	Facility		$123.03	$165.96	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $263.03	Professional		$66.07	$114.82	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $204.17	Professional		$54.95	$58.88	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $239.88	Professional		$64.57	$100.00	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $151.36	Professional		$104.71	$120.23	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $83.18	Facility		$58.88	$58.88	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $181.97	Professional		$58.88	$93.33	$181.97