Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.42 / $1,793.00 / $4,100.00	Facility		$253.42	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $211.04 / $268.95	Professional		$155.63	$211.04	$268.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $186.31 / $660.00	Professional		$172.58	$186.31	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $221.33 / $564.29	Professional		$157.16	$221.33	$564.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.13 / $569.87 / $569.87	Professional		$254.13	$569.87	$569.87
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 $180.59 / $247.58 / $658.53	Professional		$180.59	$247.58	$658.53