Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.53 / $1,614.00 / $7,727.00	Facility		$83.53	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $83.53 / $83.53	Professional		$83.53	$83.53	$83.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $88.94 / $96.94	Professional		$77.05	$88.94	$96.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $82.45 / $170.30	Professional		$66.75	$82.45	$170.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $149.16 / $149.16	Professional		$149.16	$149.16	$149.16
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 $62.64 / $109.84 / $201.10	Professional		$62.64	$109.84	$201.10