Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $1,614.00 / $3,175.00	Facility		$48.69	$1,614.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $26.28 / $52.14	Professional		$20.12	$26.28	$52.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $29.66 / $596.00	Professional		$27.20	$29.66	$596.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $33.36 / $58.49	Professional		$20.79	$33.36	$58.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $59.80 / $59.80	Professional		$26.80	$59.80	$59.80
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 $25.49 / $37.40 / $69.11	Professional		$25.49	$37.40	$69.11