Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.25 / $1,614.00 / $4,100.00	Facility		$110.25	$1,614.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $97.18 / $123.90	Professional		$42.10	$97.18	$123.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $49.35 / $1,643.00	Professional		$47.35	$49.35	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $115.11 / $263.64	Professional		$46.13	$115.11	$263.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.31 / $215.04 / $215.04	Professional		$101.31	$215.04	$215.04
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $207.82 / $285.23	Professional		$103.01	$207.82	$285.23