Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.85 / $1,674.60 / $3,175.00	Facility		$212.85	$1,674.60	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $187.96 / $234.52	Professional		$76.28	$187.96	$234.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $89.62 / $1,410.00	Professional		$89.62	$89.62	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $197.29 / $463.93	Professional		$95.50	$197.29	$463.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.62 / $433.27 / $433.27	Professional		$206.62	$433.27	$433.27
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.85 / $312.42 / $512.83	Professional		$152.85	$312.42	$512.83