Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.63 / $1,793.00 / $4,100.00	Facility		$118.63	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $109.29 / $118.63	Professional		$101.67	$109.29	$118.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $114.56 / $1,021.00	Professional		$114.56	$114.56	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $111.81 / $307.94	Professional		$100.25	$111.81	$307.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.80 / $266.43 / $317.24	Professional		$138.80	$266.43	$317.24
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 $102.87 / $138.65 / $307.88	Professional		$102.87	$138.65	$307.88