Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.39 / $1,793.00 / $4,100.00	Facility		$177.39	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $162.38 / $177.39	Professional		$152.41	$162.38	$177.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.59 / $177.59 / $1,021.00	Professional		$177.59	$177.59	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $167.21 / $459.06	Professional		$150.69	$167.21	$459.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.58 / $398.82 / $474.88	Professional		$207.58	$398.82	$474.88
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 $135.52 / $182.82 / $460.86	Professional		$135.52	$182.82	$460.86