Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,754.23 / $4,073.80	Facility		$257.04	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $363.08	Professional		$131.83	$190.55	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $1,071.52 / $4,073.80	Professional		$138.04	$1,071.52	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $537.03	Professional		$123.03	$186.21	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $457.09	Professional		$213.80	$245.47	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $8,128.31 / $26,302.68	Facility		$1,023.29	$8,128.31	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $416.87	Professional		$104.71	$181.97	$416.87