Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,698.24 / $4,570.88	Facility		$128.82	$1,698.24	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $309.03	Professional		$112.20	$162.18	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $338.84 / $977.24	Professional		$112.20	$338.84	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $338.84	Professional		$117.49	$151.36	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $346.74	Professional		$158.49	$165.96	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,698.24	Facility		$213.80	$549.54	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $338.84	Professional		$104.71	$144.54	$338.84