Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,614.00 / $3,175.00	Facility		$515.00	$1,614.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $41.79 / $101.13	Professional		$32.78	$41.79	$101.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $49.62 / $596.00	Professional		$42.53	$49.62	$596.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $62.95 / $109.88	Professional		$38.27	$62.95	$109.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $114.54 / $114.54	Professional		$51.65	$114.54	$114.54
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 $47.84 / $105.87 / $132.94	Professional		$47.84	$105.87	$132.94