Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,575.00 / $4,601.00	Facility		$1,017.00	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.96 / $150.80 / $150.80	Professional		$139.96	$150.80	$150.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $133.18 / $1,845.00	Professional		$133.18	$133.18	$1,845.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $156.44 / $395.78	Professional		$140.13	$156.44	$395.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $340.84 / $340.84	Professional		$159.44	$340.84	$340.84
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 $115.20 / $204.25 / $393.87	Professional		$115.20	$204.25	$393.87