Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.63 / $1,793.00 / $4,100.00	Facility		$213.63	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $177.21 / $260.91	Professional		$133.06	$177.21	$260.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $152.32 / $660.00	Professional		$140.97	$152.32	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.08 / $185.01 / $460.82	Professional		$128.08	$185.01	$460.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.14 / $480.61 / $480.61	Professional		$213.14	$480.61	$480.61
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 $148.13 / $207.32 / $555.39	Professional		$148.13	$207.32	$555.39