Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.42 / $1,793.00 / $3,175.00	Facility		$271.42	$1,793.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.45 / $159.59 / $271.42	Professional		$101.45	$159.59	$271.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $123.57 / $1,410.00	Professional		$119.37	$123.57	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $236.38 / $442.99	Professional		$114.49	$236.38	$442.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.81 / $386.50 / $386.50	Professional		$251.81	$386.50	$386.50
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 $137.69 / $338.53 / $457.47	Professional		$137.69	$338.53	$457.47