Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,162.00 / $4,100.00	Facility		$1,017.00	$3,162.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $251.83 / $251.83	Professional		$200.40	$251.83	$251.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $228.66 / $573.00	Professional		$110.00	$228.66	$573.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.78 / $250.08 / $560.91	Professional		$183.78	$250.08	$560.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.03 / $413.92 / $489.25	Professional		$224.03	$413.92	$489.25
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $267.01 / $583.00	Professional		$165.73	$267.01	$583.00