Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.91 / $2,761.00 / $4,100.00	Facility		$215.91	$2,761.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $138.69 / $215.91	Professional		$112.23	$138.69	$215.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.47 / $127.57 / $284.00	Professional		$97.47	$127.57	$284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $184.07 / $466.36	Professional		$109.20	$184.07	$466.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.68 / $196.51 / $412.68	Professional		$186.68	$196.51	$412.68
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 $136.74 / $212.13 / $501.66	Professional		$136.74	$212.13	$501.66