Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.88 / $2,080.00 / $4,100.00	Facility		$218.88	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.65 / $218.88 / $479.84	Professional		$184.65	$218.88	$479.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.81 / $180.80 / $1,410.00	Professional		$172.81	$180.80	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $238.44 / $476.95	Professional		$167.71	$238.44	$476.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.23 / $416.66 / $416.66	Professional		$189.23	$416.66	$416.66
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $254.59 / $496.44	Professional		$164.00	$254.59	$496.44