Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.68 / $4,004.00 / $4,601.00	Facility		$153.68	$4,004.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.75 / $153.68 / $371.90	Professional		$125.75	$153.68	$371.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.02 / $168.10 / $2,642.00	Professional		$142.02	$168.10	$2,642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $190.90 / $408.08	Professional		$136.62	$190.90	$408.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.34 / $416.74 / $416.74	Professional		$186.34	$416.74	$416.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.31 / $301.25 / $483.69	Professional		$151.31	$301.25	$483.69