Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.58 / $1,614.00 / $7,727.00	Facility		$284.58	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $284.58 / $284.58	Professional		$284.58	$284.58	$284.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $250.08 / $306.97 / $334.60	Professional		$250.08	$306.97	$334.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.80 / $308.23 / $587.78	Professional		$210.80	$308.23	$587.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.34 / $508.34 / $508.34	Professional		$508.34	$508.34	$508.34
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 $218.80 / $405.00 / $685.36	Professional		$218.80	$405.00	$685.36