Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.48 / $4,047.00 / $4,601.00	Facility		$197.48	$4,047.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $134.01 / $197.48	Professional		$110.95	$134.01	$197.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $119.16 / $573.00	Professional		$104.83	$119.16	$573.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $171.80 / $454.38	Professional		$111.26	$171.80	$454.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.01 / $178.96 / $379.97	Professional		$170.01	$178.96	$379.97
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 $129.38 / $221.09 / $456.65	Professional		$129.38	$221.09	$456.65