Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $407.38	Professional		$218.78	$263.03	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $380.19	Professional		$288.40	$288.40	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $331.13	Professional		$234.42	$234.42	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $776.25 / $1,071.52	Professional		$363.08	$776.25	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $501.19	Professional		$181.97	$269.15	$501.19