Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.73 / $1,614.00 / $3,175.00	Facility		$244.73	$1,614.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $115.91 / $208.10	Professional		$93.04	$115.91	$208.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $107.13 / $1,228.00	Professional		$90.41	$107.13	$1,228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $169.61 / $448.08	Professional		$93.52	$169.61	$448.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.93 / $189.40 / $398.63	Professional		$179.93	$189.40	$398.63
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.62 / $164.05 / $484.59	Professional		$122.62	$164.05	$484.59