Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $389.05	Professional		$204.17	$239.88	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $354.81	Professional		$269.15	$269.15	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $331.13	Professional		$229.09	$229.09	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $724.44 / $1,000.00	Professional		$331.13	$724.44	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $467.74	Professional		$165.96	$251.19	$467.74