Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $165.96	Professional		$83.18	$100.00	$165.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $151.36	Professional		$131.83	$131.83	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $123.03	Professional		$85.11	$85.11	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $316.23 / $436.52	Professional		$144.54	$316.23	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $204.17	Professional		$72.44	$109.65	$204.17