Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.93 / $106.93 / $172.46	Facility		$106.93	$106.93	$172.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $106.93 / $172.46	Professional		$106.93	$106.93	$172.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $90.56 / $660.00	Professional		$90.56	$90.56	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.64 / $220.90 / $449.86	Professional		$106.64	$220.90	$449.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.28 / $388.10 / $388.10	Professional		$237.28	$388.10	$388.10
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 $123.04 / $219.17 / $469.89	Professional		$123.04	$219.17	$469.89