Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,761.00 / $4,100.00	Facility		$1,017.00	$2,761.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $62.31 / $170.46	Professional		$62.31	$62.31	$170.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $91.48 / $102.48	Professional		$86.70	$91.48	$102.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $109.58 / $191.93	Professional		$68.20	$109.58	$191.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $167.84 / $167.84	Professional		$76.23	$167.84	$167.84
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $144.15 / $194.80	Professional		$69.38	$144.15	$194.80