Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.77 / $3,575.00 / $4,601.00	Facility		$249.77	$3,575.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $107.20 / $107.20	Professional		$107.20	$107.20	$107.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.08 / $148.86 / $2,642.00	Professional		$129.08	$148.86	$2,642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $186.92 / $333.63	Professional		$119.79	$186.92	$333.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $293.99 / $293.99	Professional		$133.88	$293.99	$293.99
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 $118.04 / $205.01 / $341.22	Professional		$118.04	$205.01	$341.22