Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,344.23 / $4,073.80	Facility		$173.78	$2,344.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $151.36 / $275.42	Professional		$64.57	$151.36	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $1,258.93 / $4,073.80	Professional		$104.71	$1,258.93	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $162.18 / $354.81	Professional		$69.18	$162.18	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $380.19	Professional		$154.88	$190.55	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $8,128.31	Facility		$741.31	$1,737.80	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $151.36 / $371.54	Professional		$64.57	$151.36	$371.54