Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $2,754.23 / $4,073.80	Facility		$26.92	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $53.70 / $109.65	Professional		$25.12	$53.70	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $288.40 / $977.24	Professional		$21.38	$288.40	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $66.07 / $128.82	Professional		$26.30	$66.07	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $213.80	Professional		$63.10	$109.65	$213.80
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 $26.92 / $61.66 / $144.54	Professional		$26.92	$61.66	$144.54