Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,614.00 / $7,727.00	Facility		$109.65	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $130.10 / $596.00	Professional		$117.33	$130.10	$596.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $149.94 / $286.68	Professional		$107.94	$149.94	$286.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $251.85 / $251.85	Professional		$114.38	$251.85	$251.85
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 $102.99 / $178.21 / $285.13	Professional		$102.99	$178.21	$285.13