Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.20 / $1,556.00 / $3,175.00	Facility		$176.20	$1,556.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $144.97 / $199.60	Professional		$106.45	$144.97	$199.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $133.43 / $2,116.00	Professional		$133.43	$133.43	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.41 / $163.90 / $339.48	Professional		$108.41	$163.90	$339.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $398.19 / $398.19	Professional		$176.09	$398.19	$398.19
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.97 / $170.45 / $460.14	Professional		$123.97	$170.45	$460.14