Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.62 / $1,556.00 / $4,100.00	Facility		$310.62	$1,556.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $151.22 / $365.40	Professional		$100.90	$151.22	$365.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $179.75 / $823.00	Professional		$133.00	$179.75	$823.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $265.75 / $736.98	Professional		$107.24	$265.75	$736.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.35 / $319.45 / $638.94	Professional		$270.35	$319.45	$638.94
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 $191.22 / $271.70 / $758.26	Professional		$191.22	$271.70	$758.26