Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.27 / $2,080.00 / $4,100.00	Facility		$258.27	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.59 / $214.59 / $258.27	Professional		$214.59	$214.59	$258.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $192.22 / $248.44 / $596.00	Professional		$192.22	$248.44	$596.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.45 / $258.51 / $679.07	Professional		$178.45	$258.51	$679.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.96 / $576.94 / $576.94	Professional		$480.96	$576.94	$576.94
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 $156.43 / $486.42 / $698.52	Professional		$156.43	$486.42	$698.52