Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.92 / $1,793.00 / $4,100.00	Facility		$240.92	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $119.91 / $240.92	Professional		$85.00	$119.91	$240.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $137.59 / $2,268.00	Professional		$101.19	$137.59	$2,268.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $198.20 / $491.64	Professional		$90.40	$198.20	$491.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.27 / $220.31 / $426.24	Professional		$190.27	$220.31	$426.24
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $170.09 / $505.59	Professional		$135.30	$170.09	$505.59