Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,754.23 / $4,073.80	Facility		$380.19	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $302.00 / $524.81	Professional		$117.49	$302.00	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $295.12 / $977.24	Professional		$114.82	$295.12	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $645.65	Professional		$107.15	$245.47	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $676.08	Professional		$309.03	$354.81	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,778.28	Facility		$213.80	$549.54	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $251.19 / $602.56	Professional		$91.20	$251.19	$602.56