Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $398.30 / $638.89	Facility		$164.59	$398.30	$638.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $261.86 / $442.77	Professional		$164.59	$261.86	$442.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $155.27 / $164.59	Facility		$155.27	$155.27	$164.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $139.90 / $164.59	Professional		$139.90	$139.90	$164.59
United Facility/Professional Professional Modifier Low / Median / High Price $149.78 / $164.59 / $266.76	Professional		$149.78	$164.59	$266.76