Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.59 / $1,793.00 / $4,100.00	Facility		$166.59	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $129.13 / $166.59	Professional		$90.40	$129.13	$166.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $158.86 / $823.00	Professional		$114.20	$158.86	$823.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $143.82 / $344.04	Professional		$95.81	$143.82	$344.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $157.27 / $298.27	Professional		$135.82	$157.27	$298.27
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 $96.74 / $121.50 / $364.49	Professional		$96.74	$121.50	$364.49