Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $208.93	Professional		$114.82	$144.54	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $194.98	Professional		$151.36	$151.36	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $186.21	Professional		$125.89	$125.89	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $398.11 / $549.54	Professional		$186.21	$398.11	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $263.03	Professional		$93.33	$138.04	$263.03