Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.49 / $1,793.00 / $4,100.00	Facility		$246.49	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $86.91 / $246.49	Professional		$79.59	$86.91	$246.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.68 / $135.22 / $823.00	Professional		$101.68	$135.22	$823.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $197.21 / $499.03	Professional		$76.79	$197.21	$499.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.18 / $223.69 / $432.64	Professional		$193.18	$223.69	$432.64
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 $168.54 / $201.43 / $525.48	Professional		$168.54	$201.43	$525.48