Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,584.89 / $4,073.80	Facility		$138.04	$1,584.89	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $338.84	Professional		$79.43	$144.54	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $288.40 / $977.24	Professional		$77.62	$288.40	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $269.15	Professional		$81.28	$128.82	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $316.23	Professional		$138.04	$162.18	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,548.82	Facility		$213.80	$549.54	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $269.15	Professional		$72.44	$123.03	$269.15