Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $295.12	Facility		$95.50	$95.50	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $467.74	Professional		$95.50	$117.49	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $162.18	Professional		$128.82	$128.82	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $162.18	Professional		$112.20	$112.20	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $338.84 / $467.74	Professional		$154.88	$338.84	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $218.78	Professional		$77.62	$117.49	$218.78