Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.87 / $2,036.00 / $4,100.00	Facility		$214.87	$2,036.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $214.87 / $390.56	Professional		$159.61	$214.87	$390.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $212.76 / $2,642.00	Professional		$194.34	$212.76	$2,642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $253.61 / $567.08	Professional		$180.20	$253.61	$567.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.24 / $578.73 / $578.73	Professional		$260.24	$578.73	$578.73
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 $200.45 / $424.96 / $671.70	Professional		$200.45	$424.96	$671.70