Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,698.24 / $4,168.69	Facility		$239.88	$1,698.24	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $616.60	Professional		$114.82	$213.80	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $602.56 / $2,041.74	Professional		$141.25	$602.56	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $389.05	Professional		$144.54	$223.87	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $537.03	Professional		$257.04	$346.74	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $4,168.69	Facility		$213.80	$549.54	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $501.19	Professional		$144.54	$213.80	$501.19