Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,754.23 / $4,073.80	Facility		$208.93	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $208.93	Professional		$61.66	$123.03	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $2,089.30	Professional		$61.66	$77.62	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $154.88 / $436.52	Professional		$64.57	$154.88	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $398.11	Professional		$147.91	$213.80	$398.11
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 $60.26 / $125.89 / $257.04	Professional		$60.26	$125.89	$257.04