Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.55 / $2,080.00 / $4,100.00	Facility		$86.55	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $86.55 / $86.55	Professional		$45.54	$86.55	$86.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $55.16 / $1,575.00	Professional		$50.61	$55.16	$1,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $121.92 / $219.90	Professional		$70.20	$121.92	$219.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $190.57 / $190.57	Professional		$101.05	$190.57	$190.57
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 $76.66 / $166.91 / $225.56	Professional		$76.66	$166.91	$225.56