Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.33 / $2,080.00 / $4,100.00	Facility		$109.33	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.17 / $104.47 / $114.45	Professional		$43.17	$104.47	$114.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $53.33 / $1,410.00	Professional		$48.93	$53.33	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.09 / $90.27 / $220.97	Professional		$56.09	$90.27	$220.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.55 / $247.28 / $247.28	Professional		$140.55	$247.28	$247.28
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 $80.62 / $127.47 / $279.95	Professional		$80.62	$127.47	$279.95