Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.21 / $1,614.00 / $3,175.00	Facility		$373.21	$1,614.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $163.61 / $373.21	Professional		$163.61	$163.61	$373.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.01 / $192.88 / $2,500.00	Professional		$161.01	$192.88	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.93 / $292.35 / $784.25	Professional		$133.93	$292.35	$784.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.44 / $648.35 / $648.35	Professional		$289.44	$648.35	$648.35
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 $298.29 / $533.36 / $874.14	Professional		$298.29	$533.36	$874.14