Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.31 / $1,614.00 / $7,727.00	Facility		$174.31	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.31 / $174.31 / $174.31	Professional		$174.31	$174.31	$174.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.68 / $202.22 / $244.04	Professional		$199.68	$202.22	$244.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.74 / $246.76 / $756.69	Professional		$192.74	$246.76	$756.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.05 / $411.05 / $411.05	Professional		$411.05	$411.05	$411.05
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 $177.38 / $369.31 / $414.96	Professional		$177.38	$369.31	$414.96