Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,754.23 / $4,073.80	Facility		$257.04	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $186.21 / $263.03	Professional		$87.10	$186.21	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $2,089.30	Professional		$85.11	$104.71	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $204.17 / $549.54	Professional		$91.20	$204.17	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $501.19	Professional		$204.17	$269.15	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,248.07 / $26,302.68	Facility		$812.83	$5,248.07	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $177.83 / $363.08	Professional		$81.28	$177.83	$363.08