Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,754.23 / $4,073.80	Facility		$208.93	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $524.81	Professional		$165.96	$190.55	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $707.95	Professional		$190.55	$288.40	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $501.19	Professional		$186.21	$251.19	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $467.74	Professional		$213.80	$398.11	$467.74
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 $151.36 / $251.19 / $501.19	Professional		$151.36	$251.19	$501.19