Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,754.23 / $4,073.80	Facility		$144.54	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $114.82 / $169.82	Professional		$46.77	$114.82	$169.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $630.96	Professional		$50.12	$54.95	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $117.49 / $323.59	Professional		$50.12	$117.49	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $302.00	Professional		$138.04	$147.91	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $549.54 / $5,888.44	Facility		$165.96	$549.54	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $134.90 / $338.84	Professional		$47.86	$134.90	$338.84