Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $346.74 / $4,073.80	Facility		$58.88	$346.74	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $128.82 / $269.15	Professional		$54.95	$128.82	$269.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $288.40 / $977.24	Professional		$58.88	$288.40	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $131.83 / $229.09	Professional		$56.23	$131.83	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $323.59	Professional		$131.83	$162.18	$323.59
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 $53.70 / $114.82 / $275.42	Professional		$53.70	$114.82	$275.42