Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $207.67 / $207.67	Professional		$78.45	$207.67	$207.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $193.57 / $698.00	Professional		$110.13	$193.57	$698.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.16 / $171.95 / $695.79	Professional		$112.16	$171.95	$695.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.94 / $340.14 / $373.33	Professional		$176.94	$340.14	$373.33
United Facility/Professional Facility Modifier Low / Median / High Price $156.78 / $442.00 / $5,940.00	Facility		$156.78	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.38 / $156.78 / $478.17	Professional		$88.38	$156.78	$478.17