Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.43 / $1,793.00 / $4,100.00	Facility		$201.43	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $109.84 / $201.43	Professional		$100.37	$109.84	$201.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $106.74 / $1,410.00	Professional		$106.74	$106.74	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $180.70 / $369.78	Professional		$104.12	$180.70	$369.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $471.95 / $471.95	Professional		$208.71	$471.95	$471.95
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 $139.77 / $187.86 / $541.05	Professional		$139.77	$187.86	$541.05