Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,754.23 / $4,073.80	Facility		$186.21	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $398.11	Professional		$102.33	$158.49	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $288.40 / $977.24	Professional		$109.65	$288.40	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $354.81	Professional		$112.20	$173.78	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $416.87	Professional		$186.21	$213.80	$416.87
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 $107.15 / $165.96 / $363.08	Professional		$107.15	$165.96	$363.08