Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $337.05 / $410.51	Facility		$95.90	$337.05	$410.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $108.03	Professional		$95.90	$95.90	$108.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $108.04 / $129.44	Professional		$95.90	$108.04	$129.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $90.47 / $95.90	Facility		$90.47	$90.47	$95.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $169.69	Professional		$95.90	$95.90	$169.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $95.90 / $659.18	Professional		$81.52	$95.90	$659.18
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $107.41 / $175.95	Professional		$95.90	$107.41	$175.95