Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.08 / $1,793.00 / $3,175.00	Facility		$405.08	$1,793.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.39 / $167.39 / $270.32	Professional		$167.39	$167.39	$270.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $192.89 / $1,410.00	Professional		$183.43	$192.89	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $356.83 / $719.44	Professional		$163.00	$356.83	$719.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.41 / $596.82 / $596.82	Professional		$373.41	$596.82	$596.82
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,695.00	Facility		$665.00	$762.00	$6,695.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.41 / $356.83 / $722.59	Professional		$178.41	$356.83	$722.59