Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.43 / $1,793.00 / $4,100.00	Facility		$196.43	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $159.16 / $239.02	Professional		$118.14	$159.16	$239.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.53 / $135.69 / $660.00	Professional		$125.53	$135.69	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $169.17 / $408.99	Professional		$113.93	$169.17	$408.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.29 / $441.99 / $441.99	Professional		$195.29	$441.99	$441.99
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 $138.56 / $193.31 / $510.76	Professional		$138.56	$193.31	$510.76