Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.72 / $1,793.00 / $4,100.00	Facility		$135.72	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $128.88 / $135.72	Professional		$87.01	$128.88	$135.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $153.85 / $1,951.00	Professional		$114.52	$153.85	$1,951.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $123.38 / $281.54	Professional		$91.71	$123.38	$281.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $232.78 / $244.09	Professional		$115.92	$232.78	$244.09
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 $82.15 / $98.17 / $289.52	Professional		$82.15	$98.17	$289.52