Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.30 / $1,614.00 / $7,727.00	Facility		$197.30	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $197.30 / $197.30	Professional		$197.30	$197.30	$197.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.18 / $246.11 / $2,116.00	Professional		$223.18	$246.11	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $268.38 / $514.25	Professional		$195.00	$268.38	$514.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.84 / $454.80 / $454.80	Professional		$205.84	$454.80	$454.80
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 $191.38 / $381.03 / $514.90	Professional		$191.38	$381.03	$514.90