Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.35 / $3,575.00 / $4,601.00	Facility		$372.35	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.34 / $301.44 / $413.75	Professional		$224.34	$301.44	$413.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $212.09 / $212.09 / $1,575.00	Professional		$212.09	$212.09	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $318.89 / $728.65	Professional		$217.40	$318.89	$728.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.50 / $829.63 / $829.63	Professional		$365.50	$829.63	$829.63
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 $258.31 / $355.99 / $958.70	Professional		$258.31	$355.99	$958.70