Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.38 / $1,614.00 / $7,727.00	Facility		$48.38	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $73.91 / $129.47	Professional		$48.38	$73.91	$129.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $53.15 / $660.00	Professional		$50.16	$53.15	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $116.05 / $244.21	Professional		$44.94	$116.05	$244.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $287.89 / $287.89	Professional		$108.04	$287.89	$287.89
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $118.76 / $332.68	Professional		$82.07	$118.76	$332.68