Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.84 / $1,614.00 / $4,100.00	Facility		$222.84	$1,614.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $201.42 / $690.26	Professional		$100.40	$201.42	$690.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $92.09 / $472.00	Professional		$92.09	$92.09	$472.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.15 / $222.96 / $1,252.90	Professional		$99.15	$222.96	$1,252.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.05 / $605.79 / $1,200.41	Professional		$193.05	$605.79	$1,200.41
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 $192.60 / $739.65 / $1,618.45	Professional		$192.60	$739.65	$1,618.45