Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.04 / $2,036.00 / $4,601.00	Facility		$350.04	$2,036.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.64 / $268.06 / $388.73	Professional		$183.64	$268.06	$388.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.95 / $177.95 / $1,575.00	Professional		$177.95	$177.95	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.33 / $319.83 / $667.17	Professional		$189.33	$319.83	$667.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.69 / $784.42 / $784.42	Professional		$345.69	$784.42	$784.42
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 $236.18 / $324.76 / $906.46	Professional		$236.18	$324.76	$906.46