Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.02 / $1,512.00 / $3,175.00	Facility		$208.02	$1,512.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $418.42 / $1,012.57	Professional		$80.29	$418.42	$1,012.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.96 / $103.02 / $1,575.00	Professional		$99.96	$103.02	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $376.23 / $1,147.80	Professional		$82.17	$376.23	$1,147.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.89 / $904.92 / $904.92	Professional		$398.89	$904.92	$904.92
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 $484.90 / $710.65 / $1,252.00	Professional		$484.90	$710.65	$1,252.00