Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,575.00 / $4,601.00	Facility		$1,017.00	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.87 / $210.24 / $210.24	Professional		$194.87	$210.24	$210.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.89 / $187.89 / $603.00	Professional		$187.89	$187.89	$603.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.78 / $245.71 / $527.98	Professional		$186.78	$245.71	$527.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.82 / $218.64 / $411.76	Professional		$188.82	$218.64	$411.76
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 $153.99 / $401.12 / $535.09	Professional		$153.99	$401.12	$535.09