Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,584.89 / $4,073.80	Facility		$154.88	$1,584.89	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $331.13	Professional		$120.23	$165.96	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $288.40 / $977.24	Professional		$138.04	$288.40	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $371.54	Professional		$131.83	$194.98	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $346.74	Professional		$173.78	$302.00	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,548.82	Facility		$213.80	$549.54	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $363.08	Professional		$102.33	$177.83	$363.08