Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,862.09 / $4,073.80	Facility		$138.04	$1,862.09	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $346.74	Professional		$95.50	$125.89	$346.74
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $43.65 / $309.03	Professional	52	$43.65	$43.65	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $1,258.93	Professional		$114.82	$169.82	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $316.23	Professional		$104.71	$154.88	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $316.23	Professional		$151.36	$251.19	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,737.80	Facility		$213.80	$549.54	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $316.23	Professional		$87.10	$151.36	$316.23