Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.08 / $1,512.00 / $3,175.00	Facility		$298.08	$1,512.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $205.97 / $298.08	Professional		$108.49	$205.97	$298.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $122.17 / $1,030.00	Professional		$116.82	$122.17	$1,030.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $224.84 / $553.39	Professional		$111.42	$224.84	$553.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.24 / $240.25 / $515.47	Professional		$228.24	$240.25	$515.47
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $212.88 / $615.54	Professional		$166.71	$212.88	$615.54