Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.82 / $1,614.00 / $7,727.00	Facility		$278.82	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.82 / $278.82 / $278.82	Professional		$278.82	$278.82	$278.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $289.04 / $289.04 / $636.00	Professional		$289.04	$289.04	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.49 / $366.13 / $608.67	Professional		$223.49	$366.13	$608.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $531.23 / $531.23	Professional		$241.27	$531.23	$531.23
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.58 / $601.29 / $632.94	Professional		$219.58	$601.29	$632.94