Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.34 / $1,614.00 / $4,624.43	Facility		$207.34	$1,614.00	$4,624.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $189.00 / $225.41	Professional		$71.20	$189.00	$225.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $80.45 / $603.00	Professional		$80.16	$80.45	$603.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $174.22 / $389.92	Professional		$71.98	$174.22	$389.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $208.30 / $399.36	Professional		$152.55	$208.30	$399.36
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $442.00 / $5,940.00	Facility		$140.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $254.34 / $538.44	Professional		$174.74	$254.34	$538.44