Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $1,793.00 / $4,100.00	Facility		$98.06	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.69 / $89.37 / $98.06	Professional		$74.69	$89.37	$98.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $97.76 / $1,021.00	Professional		$97.76	$97.76	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $92.00 / $250.71	Professional		$81.23	$92.00	$250.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $220.57 / $262.64	Professional		$115.54	$220.57	$262.64
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $549.00 / $5,940.00	Facility		$165.00	$549.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $104.61 / $254.88	Professional		$72.70	$104.61	$254.88