Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,754.23 / $4,073.80	Facility		$416.87	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $295.12 / $416.87	Professional		$81.28	$295.12	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $851.14	Professional		$81.28	$93.33	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $302.00 / $831.76	Professional		$87.10	$302.00	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $436.52 / $794.33	Professional		$194.98	$436.52	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $549.54 / $1,548.82	Facility		$165.96	$549.54	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $251.19 / $660.69	Professional		$75.86	$251.19	$660.69