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 $141.01 / $141.01 / $141.01	Professional		$141.01	$141.01	$141.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $149.06 / $2,116.00	Professional		$136.75	$149.06	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.83 / $193.38 / $418.46	Professional		$128.83	$193.38	$418.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.49 / $279.08 / $279.08	Professional		$127.49	$279.08	$279.08
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.83 / $182.55 / $362.68	Professional		$116.83	$182.55	$362.68