Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.55 / $1,614.00 / $7,727.00	Facility		$128.55	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $128.55 / $128.55	Professional		$128.55	$128.55	$128.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $140.34 / $154.79	Professional		$125.00	$140.34	$154.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $179.78 / $326.98	Professional		$116.31	$179.78	$326.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.15 / $285.27 / $285.27	Professional		$137.15	$285.27	$285.27
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 $120.64 / $320.77 / $337.65	Professional		$120.64	$320.77	$337.65