Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.02 / $1,793.00 / $4,100.00	Facility		$251.02	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.34 / $210.34 / $270.37	Professional		$165.34	$210.34	$270.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $174.99 / $190.04 / $660.00	Professional		$174.99	$190.04	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.15 / $221.11 / $572.04	Professional		$160.15	$221.11	$572.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.29 / $566.15 / $566.15	Professional		$252.29	$566.15	$566.15
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 $179.59 / $246.21 / $654.23	Professional		$179.59	$246.21	$654.23