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 $73.26 / $119.26 / $119.26	Professional		$73.26	$119.26	$119.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.98 / $109.98 / $573.00	Professional		$109.98	$109.98	$573.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $138.78 / $399.44	Professional		$93.98	$138.78	$399.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $210.57 / $212.99	Professional		$101.81	$210.57	$212.99
United Facility/Professional Facility Modifier Low / Median / High Price $93.62 / $442.00 / $5,940.00	Facility		$93.62	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $108.32 / $280.85	Professional		$81.36	$108.32	$280.85