Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $1,793.00 / $4,100.00	Facility		$234.00	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.24 / $169.83 / $234.00	Professional		$118.24	$169.83	$234.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $118.66 / $1,410.00	Professional		$118.66	$118.66	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.73 / $201.35 / $445.29	Professional		$121.73	$201.35	$445.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.13 / $519.76 / $519.76	Professional		$229.13	$519.76	$519.76
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 $131.10 / $214.23 / $600.63	Professional		$131.10	$214.23	$600.63