Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.91 / $1,614.00 / $7,727.00	Facility		$193.91	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $193.91 / $193.91	Professional		$193.91	$193.91	$193.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.03 / $232.03 / $2,500.00	Professional		$187.03	$232.03	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $211.89 / $402.00	Professional		$146.08	$211.89	$402.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.62 / $345.62 / $345.62	Professional		$345.62	$345.62	$345.62
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $233.86 / $465.98	Professional		$149.66	$233.86	$465.98