Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,754.23 / $4,073.80	Facility		$151.36	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $398.11	Professional		$138.04	$162.18	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $977.24	Professional		$158.49	$288.40	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $416.87	Professional		$147.91	$208.93	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $398.11	Professional		$190.55	$338.84	$398.11
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 $117.49 / $204.17 / $416.87	Professional		$117.49	$204.17	$416.87