Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.50 / $2,080.00 / $6,144.72	Facility		$314.50	$2,080.00	$6,144.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $129.96 / $129.96	Professional		$118.14	$129.96	$129.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $121.15 / $638.00	Professional		$111.15	$121.15	$638.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $251.18 / $346.60	Professional		$123.77	$251.18	$346.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.52 / $279.95 / $279.95	Professional		$137.52	$279.95	$279.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $8,777.00 / $26,408.00	Facility		$2,648.00	$8,777.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $167.08 / $345.46	Professional		$102.59	$167.08	$345.46