Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,412.54 / $4,073.80	Facility		$95.50	$1,412.54	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $204.17	Professional		$58.88	$102.33	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $288.40 / $977.24	Professional		$72.44	$288.40	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $199.53	Professional		$74.13	$93.33	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $218.78	Professional		$97.72	$177.83	$218.78
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 $57.54 / $85.11 / $194.98	Professional		$57.54	$85.11	$194.98