Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.25 / $1,793.00 / $4,100.00	Facility		$187.25	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.29 / $154.76 / $227.15	Professional		$115.29	$154.76	$227.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $132.36 / $660.00	Professional		$122.34	$132.36	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.76 / $161.58 / $400.03	Professional		$110.76	$161.58	$400.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.67 / $421.48 / $421.48	Professional		$186.67	$421.48	$421.48
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 $131.63 / $201.69 / $487.05	Professional		$131.63	$201.69	$487.05