Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.92 / $1,341.00 / $3,175.00	Facility		$76.92	$1,341.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $80.19 / $123.80	Professional		$34.42	$80.19	$123.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $33.88 / $596.00	Professional		$29.92	$33.88	$596.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $101.52 / $263.99	Professional		$37.75	$101.52	$263.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $239.05 / $239.05	Professional		$108.94	$239.05	$239.05
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 $98.66 / $215.04 / $309.44	Professional		$98.66	$215.04	$309.44