Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.69 / $2,080.00 / $4,100.00	Facility		$218.69	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.44 / $175.44 / $218.69	Professional		$175.44	$175.44	$218.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $232.91 / $254.30 / $1,021.00	Professional		$232.91	$254.30	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.12 / $331.37 / $573.04	Professional		$200.12	$331.37	$573.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.83 / $591.55 / $591.55	Professional		$266.83	$591.55	$591.55
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.40 / $529.58 / $686.59	Professional		$240.40	$529.58	$686.59