Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $2,754.23 / $4,073.80	Facility		$75.86	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $44.67 / $91.20	Professional		$14.13	$44.67	$91.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $288.40 / $977.24	Professional		$12.02	$288.40	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $51.29 / $95.50	Professional		$14.45	$51.29	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $87.10 / $169.82	Professional		$33.88	$87.10	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,548.82	Facility		$213.80	$549.54	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $38.02 / $107.15	Professional		$14.45	$38.02	$107.15