Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.84 / $178.13 / $178.13	Professional		$171.84	$178.13	$178.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.61 / $182.61 / $202.90	Professional		$182.61	$182.61	$202.90
United Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $213.05	Professional		$202.90	$202.90	$213.05