Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $2,137.96 / $7,762.47	Facility		$128.82	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $218.78	Professional		$102.33	$120.23	$218.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $158.49	Professional		$107.15	$128.82	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $309.03	Professional		$104.71	$131.83	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $251.19	Professional		$104.71	$109.65	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,290.87 / $6,309.57	Facility		$645.65	$2,290.87	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $269.15	Professional		$87.10	$123.03	$269.15