Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.46 / $2,080.00 / $4,100.00	Facility		$85.46	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $85.46 / $85.46	Professional		$43.72	$85.46	$85.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $52.25 / $1,643.00	Professional		$47.94	$52.25	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $129.44 / $247.12	Professional		$71.19	$129.44	$247.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $188.13 / $188.13	Professional		$98.59	$188.13	$188.13
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 $70.13 / $141.50 / $302.63	Professional		$70.13	$141.50	$302.63