Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $204.17	Professional		$114.82	$128.82	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $208.93	Professional		$162.18	$162.18	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $165.96	Professional		$117.49	$117.49	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $426.58 / $588.84	Professional		$199.53	$426.58	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $281.84	Professional		$100.00	$147.91	$281.84