Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.95 / $1,793.00 / $4,100.00	Facility		$270.95	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $199.85 / $270.95	Professional		$112.22	$199.85	$270.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $127.73 / $1,228.00	Professional		$127.73	$127.73	$1,228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.73 / $249.67 / $594.78	Professional		$121.73	$249.67	$594.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.97 / $303.70 / $588.04	Professional		$258.97	$303.70	$588.04
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 $206.31 / $307.72 / $696.02	Professional		$206.31	$307.72	$696.02