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 $107.15 / $204.17 / $363.08	Professional		$107.15	$204.17	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $645.65	Professional		$109.65	$125.89	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $549.54	Professional		$107.15	$204.17	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $489.78	Professional		$218.78	$257.04	$489.78
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 $93.33 / $177.83 / $331.13	Professional		$93.33	$177.83	$331.13