Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $724.44 / $870.96	Facility		$229.09	$724.44	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $363.08	Professional		$229.09	$229.09	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $741.31	Professional		$316.23	$354.81	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $229.09 / $229.09	Facility		$218.78	$229.09	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $229.09	Professional		$194.98	$194.98	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $371.54	Professional		$229.09	$229.09	$371.54