Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $1,548.82 / $4,073.80	Facility		$58.88	$1,548.82	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $67.61 / $190.55	Professional		$23.99	$67.61	$190.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $288.40 / $707.95	Professional		$25.12	$288.40	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $57.54 / $100.00	Professional		$23.99	$57.54	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $141.25	Professional		$57.54	$74.13	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $549.54 / $5,888.44	Facility		$165.96	$549.54	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $57.54 / $120.23	Professional		$24.55	$57.54	$120.23