Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $4,073.80 / $4,570.88	Facility		$181.97	$4,073.80	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $478.63	Professional		$162.18	$251.19	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $2,454.71	Professional		$181.97	$288.40	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $537.03	Professional		$169.82	$257.04	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $630.96	Professional		$281.84	$416.87	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $5,128.61	Facility		$741.31	$1,737.80	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $537.03	Professional		$158.49	$251.19	$537.03