Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $2,137.96 / $7,762.47	Facility		$128.82	$2,137.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $338.84	Professional		$123.03	$128.82	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $181.97	Professional		$112.20	$125.89	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $323.59	Professional		$117.49	$177.83	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $288.40	Professional		$120.23	$263.03	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,344.23 / $16,218.10	Facility		$645.65	$2,344.23	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $323.59	Professional		$112.20	$162.18	$323.59