Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.81 / $3,670.00 / $4,047.00	Facility		$259.81	$3,670.00	$4,047.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $111.51 / $269.85	Professional		$111.51	$111.51	$269.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $127.10 / $660.00	Professional		$113.05	$127.10	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $169.70 / $287.45	Professional		$101.30	$169.70	$287.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $219.90 / $219.90	Professional		$100.24	$219.90	$219.90
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 $108.01 / $197.81 / $267.31	Professional		$108.01	$197.81	$267.31