Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.16 / $1,793.00 / $3,175.00	Facility		$293.16	$1,793.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.48 / $131.46 / $178.15	Professional		$108.48	$131.46	$178.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $129.94 / $1,228.00	Professional		$125.87	$129.94	$1,228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $163.37 / $396.36	Professional		$111.98	$163.37	$396.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $162.43 / $342.98	Professional		$154.31	$162.43	$342.98
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $177.88 / $416.93	Professional		$117.71	$177.88	$416.93