Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.55 / $1,793.00 / $4,100.00	Facility		$314.55	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $240.38 / $336.31	Professional		$166.94	$240.38	$336.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $160.97 / $1,410.00	Professional		$160.97	$160.97	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $287.45 / $603.40	Professional		$172.70	$287.45	$603.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.33 / $703.23 / $703.23	Professional		$311.33	$703.23	$703.23
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 $177.74 / $283.91 / $812.64	Professional		$177.74	$283.91	$812.64