Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,754.23 / $4,073.80	Facility		$363.08	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $218.78 / $363.08	Professional		$81.28	$218.78	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $1,380.38	Professional		$77.62	$95.50	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $239.88 / $794.33	Professional		$83.18	$239.88	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $371.54 / $691.83	Professional		$190.55	$371.54	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,073.80 / $26,302.68	Facility		$812.83	$4,073.80	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $190.55 / $467.74	Professional		$70.79	$190.55	$467.74