Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.79 / $2,080.00 / $4,100.00	Facility		$172.79	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.66 / $172.79 / $172.79	Professional		$100.66	$172.79	$172.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $110.28 / $1,410.00	Professional		$109.68	$110.28	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $206.07 / $438.55	Professional		$100.24	$206.07	$438.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $379.97 / $379.97	Professional		$223.50	$379.97	$379.97
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 $140.38 / $281.52 / $449.74	Professional		$140.38	$281.52	$449.74