Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $1,787.50 / $4,100.00	Facility		$141.47	$1,787.50	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $133.59 / $167.96	Professional		$50.14	$133.59	$167.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $56.43 / $472.00	Professional		$53.47	$56.43	$472.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $111.05 / $316.48	Professional		$50.45	$111.05	$316.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $138.82 / $267.22	Professional		$103.51	$138.82	$267.22
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 $127.32 / $213.52 / $360.28	Professional		$127.32	$213.52	$360.28