Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $285.49 / $4,100.00	Facility		$57.37	$285.49	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $122.53 / $212.68	Professional		$57.37	$122.53	$212.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $54.70 / $660.00	Professional		$54.70	$54.70	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $112.96 / $261.04	Professional		$56.01	$112.96	$261.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.90 / $272.36 / $272.36	Professional		$121.90	$272.36	$272.36
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 $96.98 / $135.13 / $314.74	Professional		$96.98	$135.13	$314.74