Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.47 / $1,614.00 / $4,100.00	Facility		$207.47	$1,614.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.34 / $163.92 / $207.47	Professional		$105.34	$163.92	$207.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $138.52 / $1,410.00	Professional		$128.94	$138.52	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.67 / $177.58 / $418.14	Professional		$108.67	$177.58	$418.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.59 / $464.65 / $464.65	Professional		$204.59	$464.65	$464.65
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 $116.39 / $190.48 / $536.95	Professional		$116.39	$190.48	$536.95