Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,698.24 / $7,762.47	Facility		$128.82	$1,698.24	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $380.19	Professional		$104.71	$158.49	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $489.78 / $2,454.71	Professional		$162.18	$489.78	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $331.13	Professional		$138.04	$190.55	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $363.08	Professional		$169.82	$177.83	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $5,128.61	Facility		$741.31	$1,737.80	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $346.74	Professional		$123.03	$177.83	$346.74