Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,761.00 / $4,100.00	Facility		$1,017.00	$2,761.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $43.46 / $44.22	Professional		$39.93	$43.46	$44.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $45.06 / $284.00	Professional		$43.21	$45.06	$284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $59.90 / $103.08	Professional		$39.17	$59.90	$103.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $83.65 / $83.65	Professional		$39.07	$83.65	$83.65
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $48.59 / $101.68	Professional		$34.50	$48.59	$101.68