Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.95 / $1,793.00 / $4,100.00	Facility		$109.95	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $90.32 / $109.95	Professional		$85.90	$90.32	$109.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $123.05 / $2,058.00	Professional		$79.14	$123.05	$2,058.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $92.07 / $239.13	Professional		$71.90	$92.07	$239.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $101.56 / $195.55	Professional		$87.71	$101.56	$195.55
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 $66.33 / $106.05 / $231.95	Professional		$66.33	$106.05	$231.95