Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,621.81 / $4,073.80	Facility		$234.42	$1,621.81	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $194.98 / $263.03	Professional		$95.50	$194.98	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $1,380.38	Professional		$93.33	$107.15	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $218.78 / $537.03	Professional		$97.72	$218.78	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $426.58	Professional		$213.80	$251.19	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,981.07 / $26,302.68	Facility		$812.83	$3,981.07	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $194.98 / $416.87	Professional		$87.10	$194.98	$416.87