Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,754.23 / $4,073.80	Facility		$112.20	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $104.71 / $165.96	Professional		$44.67	$104.71	$165.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $338.84 / $2,454.71	Professional		$54.95	$338.84	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $107.15 / $245.47	Professional		$47.86	$107.15	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $251.19	Professional		$112.20	$117.49	$251.19
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 $45.71 / $109.65 / $263.03	Professional		$45.71	$109.65	$263.03