Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $2,137.96 / $7,762.47	Facility		$93.33	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $131.83	Professional		$74.13	$87.10	$131.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $630.96	Professional		$79.43	$91.20	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $229.09	Professional		$72.44	$104.71	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $181.97	Professional		$75.86	$79.43	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,290.87 / $6,309.57	Facility		$645.65	$2,290.87	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $199.53	Professional		$66.07	$91.20	$199.53