Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.37 / $1,017.00 / $4,100.00	Facility		$161.37	$1,017.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.62 / $127.05 / $161.37	Professional		$109.62	$127.05	$161.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $1,575.00	Professional		$120.36	$120.36	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.22 / $141.56 / $308.58	Professional		$102.22	$141.56	$308.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.79 / $365.95 / $365.95	Professional		$162.79	$365.95	$365.95
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 $112.39 / $174.05 / $422.88	Professional		$112.39	$174.05	$422.88