Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,754.23 / $4,073.80	Facility		$208.93	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $251.19	Professional		$128.82	$162.18	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $1,380.38	Professional		$120.23	$147.91	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $549.54	Professional		$125.89	$181.97	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $371.54	Professional		$177.83	$208.93	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $549.54 / $3,019.95	Facility		$165.96	$549.54	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $363.08	Professional		$114.82	$169.82	$363.08