Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,754.23 / $4,073.80	Facility		$213.80	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $354.81	Professional		$114.82	$173.78	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $288.40 / $977.24	Professional		$120.23	$288.40	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $407.38	Professional		$123.03	$199.53	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $489.78	Professional		$213.80	$245.47	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $2,290.87	Facility		$213.80	$549.54	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $190.55 / $416.87	Professional		$117.49	$190.55	$416.87