Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $323.59	Professional		$208.93	$234.42	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $338.84	Professional		$257.04	$257.04	$338.84
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 / $338.84	Professional		$234.42	$234.42	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $691.83 / $954.99	Professional		$323.59	$691.83	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $371.54	Professional		$162.18	$239.88	$371.54