Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $2,754.23 / $4,073.80	Facility		$93.33	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $177.83	Professional		$54.95	$89.13	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $338.84 / $977.24	Professional		$46.77	$338.84	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $251.19	Professional		$54.95	$91.20	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $102.33 / $199.53	Professional		$95.50	$102.33	$199.53
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 $50.12 / $93.33 / $177.83	Professional		$50.12	$93.33	$177.83