Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $295.12	Professional		$190.55	$213.80	$295.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $302.00	Professional		$263.03	$263.03	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $309.03	Professional		$208.93	$208.93	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $630.96 / $870.96	Professional		$288.40	$630.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $331.13	Professional		$144.54	$218.78	$331.13