Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.05 / $590.60 / $3,445.93	Facility		$380.05	$590.60	$3,445.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $176.45 / $517.67	Professional		$176.44	$176.45	$517.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $155.41 / $186.21	Professional		$155.41	$155.41	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $166.46 / $176.45	Facility		$166.46	$166.46	$176.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $222.93	Professional		$176.45	$176.45	$222.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $176.45 / $1,373.47	Professional		$149.97	$176.45	$1,373.47
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $196.43 / $259.74	Professional		$176.45	$196.43	$259.74