Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.10 / $1,614.00 / $7,727.00	Facility		$161.10	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.10 / $161.10 / $161.10	Professional		$161.10	$161.10	$161.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $170.67 / $226.99	Professional		$155.38	$170.67	$226.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.41 / $173.79 / $392.71	Professional		$117.41	$173.79	$392.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.12 / $287.12 / $287.12	Professional		$287.12	$287.12	$287.12
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 $122.97 / $168.72 / $387.11	Professional		$122.97	$168.72	$387.11