Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.89 / $1,556.00 / $4,100.00	Facility		$289.89	$1,556.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.12 / $243.85 / $354.87	Professional		$175.12	$243.85	$354.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $201.34 / $216.00 / $1,410.00	Professional		$201.34	$216.00	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.52 / $250.57 / $655.43	Professional		$172.52	$250.57	$655.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.45 / $650.38 / $650.38	Professional		$289.45	$650.38	$650.38
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 $170.45 / $280.39 / $751.57	Professional		$170.45	$280.39	$751.57