Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.19 / $1,614.00 / $7,727.00	Facility		$209.19	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.19 / $209.19 / $385.80	Professional		$209.19	$209.19	$385.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $171.57 / $176.42 / $660.00	Professional		$171.57	$176.42	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $392.11 / $1,006.42	Professional		$208.12	$392.11	$1,006.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.87 / $871.58 / $871.58	Professional		$465.87	$871.58	$871.58
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $549.00 / $5,940.00	Facility		$165.00	$549.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.05 / $450.52 / $1,055.25	Professional		$220.05	$450.52	$1,055.25