Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.98 / $1,793.00 / $4,100.00	Facility		$289.98	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $185.41 / $289.98	Professional		$128.15	$185.41	$289.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $164.49 / $225.20 / $823.00	Professional		$164.49	$225.20	$823.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $232.69 / $591.82	Professional		$136.51	$232.69	$591.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $334.36 / $512.61	Professional		$240.80	$334.36	$512.61
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 $154.07 / $205.35 / $616.05	Professional		$154.07	$205.35	$616.05