Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $269.15 / $1,258.93	Facility		$181.97	$269.15	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $97.72	Professional		$93.33	$93.33	$97.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $302.00	Professional		$128.82	$147.91	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $93.33 / $93.33	Facility		$89.13	$93.33	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $93.33	Professional		$79.43	$79.43	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $151.36	Professional		$93.33	$93.33	$151.36