Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.51 / $1,556.00 / $3,175.00	Facility		$625.51	$1,556.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.92 / $165.68 / $229.86	Professional		$105.92	$165.68	$229.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $127.03 / $1,228.00	Professional		$117.00	$127.03	$1,228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $190.24 / $499.35	Professional		$109.37	$190.24	$499.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.73 / $209.19 / $442.42	Professional		$198.73	$209.19	$442.42
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 $136.79 / $200.74 / $537.80	Professional		$136.79	$200.74	$537.80