Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.99 / $1,626.13 / $4,100.00	Facility		$255.99	$1,626.13	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $123.32 / $170.65	Professional		$92.84	$123.32	$170.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $117.56 / $1,410.00	Professional		$104.15	$117.56	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $137.43 / $369.87	Professional		$97.42	$137.43	$369.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.82 / $339.46 / $339.46	Professional		$147.82	$339.46	$339.46
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.72 / $143.34 / $392.27	Professional		$104.72	$143.34	$392.27