Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $331.13	Professional		$213.80	$275.42	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $363.08	Professional		$275.42	$275.42	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $323.59	Professional		$223.87	$223.87	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $741.31 / $1,023.29	Professional		$338.84	$741.31	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $389.05	Professional		$169.82	$257.04	$389.05