Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.98 / $1,793.00 / $4,100.00	Facility		$261.98	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $206.73 / $261.98	Professional		$144.83	$206.73	$261.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.10 / $252.13 / $823.00	Professional		$182.10	$252.13	$823.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.94 / $229.76 / $543.23	Professional		$153.94	$229.76	$543.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $246.82 / $470.98	Professional		$213.16	$246.82	$470.98
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 $154.54 / $190.63 / $571.90	Professional		$154.54	$190.63	$571.90