Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.43 / $1,535.00 / $3,175.00	Facility		$165.43	$1,535.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $104.82 / $183.97	Professional		$67.15	$104.82	$183.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $1,021.00	Professional		$63.92	$63.92	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $105.57 / $251.98	Professional		$66.17	$105.57	$251.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $269.83 / $269.83	Professional		$120.17	$269.83	$269.83
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 $87.64 / $133.82 / $311.82	Professional		$87.64	$133.82	$311.82