Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,754.23 / $4,073.80	Facility		$151.36	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $295.12	Professional		$89.13	$131.83	$295.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $1,071.52 / $4,073.80	Professional		$112.20	$1,071.52	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $338.84	Professional		$100.00	$144.54	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $275.42	Professional		$128.82	$147.91	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $11,481.54	Facility		$213.80	$549.54	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $269.15	Professional		$89.13	$120.23	$269.15