Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $1,793.00 / $4,100.00	Facility		$204.05	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $103.28 / $204.05	Professional		$37.75	$103.28	$204.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $53.39 / $472.00	Professional		$43.69	$53.39	$472.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $149.78 / $443.62	Professional		$40.27	$149.78	$443.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $214.64 / $435.61	Professional		$88.81	$214.64	$435.61
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 $129.75 / $462.77 / $527.40	Professional		$129.75	$462.77	$527.40