Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.66 / $3,575.00 / $4,601.00	Facility		$212.66	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.55 / $135.18 / $212.66	Professional		$124.55	$135.18	$212.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $153.08 / $1,575.00	Professional		$153.08	$153.08	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.04 / $196.26 / $455.09	Professional		$125.04	$196.26	$455.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.64 / $474.31 / $564.78	Professional		$243.64	$474.31	$564.78
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 $152.66 / $238.18 / $548.10	Professional		$152.66	$238.18	$548.10