Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.96 / $1,793.00 / $4,100.00	Facility		$179.96	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $162.43 / $260.27	Professional		$102.65	$162.43	$260.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.92 / $123.50 / $1,410.00	Professional		$116.92	$123.50	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $182.51 / $385.90	Professional		$103.18	$182.51	$385.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.12 / $433.25 / $433.25	Professional		$191.12	$433.25	$433.25
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 $145.62 / $199.64 / $521.91	Professional		$145.62	$199.64	$521.91