Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.16 / $1,614.00 / $4,100.00	Facility		$255.16	$1,614.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.09 / $212.47 / $316.02	Professional		$148.09	$212.47	$316.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $181.25 / $1,410.00	Professional		$168.90	$181.25	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $220.00 / $548.20	Professional		$145.37	$220.00	$548.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.90 / $573.28 / $573.28	Professional		$253.90	$573.28	$573.28
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.37 / $246.29 / $662.47	Professional		$183.37	$246.29	$662.47