Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,584.89 / $4,073.80	Facility		$107.15	$1,584.89	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $263.03	Professional		$53.70	$107.15	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $338.84 / $977.24	Professional		$57.54	$338.84	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $288.40	Professional		$53.70	$102.33	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $229.09	Professional		$109.65	$114.82	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,548.82	Facility		$213.80	$549.54	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $199.53	Professional		$52.48	$102.33	$199.53