Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $1,614.00 / $7,727.00	Facility		$129.66	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $129.66 / $129.66	Professional		$107.86	$129.66	$129.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $146.26 / $194.53	Professional		$122.96	$146.26	$194.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $178.30 / $298.26	Professional		$110.65	$178.30	$298.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.88 / $235.08 / $249.94	Professional		$113.88	$235.08	$249.94
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 $105.22 / $147.03 / $303.83	Professional		$105.22	$147.03	$303.83