Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.97 / $630.90 / $3,175.00	Facility		$83.97	$630.90	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $108.82 / $240.62	Professional		$54.89	$108.82	$240.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $61.65 / $660.00	Professional		$57.49	$61.65	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $104.59 / $286.70	Professional		$54.25	$104.59	$286.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $227.93 / $227.93	Professional		$103.50	$227.93	$227.93
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 $91.24 / $142.56 / $264.08	Professional		$91.24	$142.56	$264.08