Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.48 / $1,614.00 / $3,175.00	Facility		$373.48	$1,614.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.21 / $147.43 / $147.43	Professional		$134.21	$147.43	$147.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $168.35 / $1,643.00	Professional		$168.35	$168.35	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.08 / $257.69 / $394.94	Professional		$140.08	$257.69	$394.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $323.16 / $323.16	Professional		$155.63	$323.16	$323.16
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 $119.13 / $193.87 / $391.26	Professional		$119.13	$193.87	$391.26