Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.66 / $1,614.00 / $7,727.00	Facility		$122.66	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.33 / $122.66 / $122.66	Professional		$101.33	$122.66	$122.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $130.97 / $174.20	Professional		$122.04	$130.97	$174.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $133.75 / $280.77	Professional		$99.68	$133.75	$280.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.02 / $218.60 / $236.26	Professional		$108.02	$218.60	$236.26
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 $86.52 / $123.98 / $287.20	Professional		$86.52	$123.98	$287.20