Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.04 / $1,793.00 / $4,100.00	Facility		$287.04	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $167.40 / $287.04	Professional		$121.34	$167.40	$287.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $210.15 / $2,268.00	Professional		$147.19	$210.15	$2,268.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $243.94 / $580.14	Professional		$126.07	$243.94	$580.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.46 / $263.37 / $505.67	Professional		$227.46	$263.37	$505.67
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $2,680.00 / $26,408.00	Facility		$808.00	$2,680.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.51 / $207.31 / $621.94	Professional		$166.51	$207.31	$621.94