Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.07 / $3,575.00 / $4,601.00	Facility		$213.07	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $171.06 / $245.30	Professional		$128.35	$171.06	$245.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $143.50 / $1,410.00	Professional		$133.34	$143.50	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $183.02 / $432.10	Professional		$112.88	$183.02	$432.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.79 / $478.82 / $478.82	Professional		$210.79	$478.82	$478.82
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 $151.47 / $202.90 / $553.32	Professional		$151.47	$202.90	$553.32