Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,778.28 / $4,073.80	Facility		$117.49	$1,778.28	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $95.50 / $186.21	Professional		$52.48	$95.50	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $1,380.38	Professional		$48.98	$63.10	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $269.15	Professional		$53.70	$104.71	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $213.80	Professional		$91.20	$109.65	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,737.80 / $5,128.61	Facility		$660.69	$1,737.80	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $199.53	Professional		$50.12	$97.72	$199.53