Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.66 / $1,793.00 / $4,100.00	Facility		$209.66	$1,793.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.87 / $178.77 / $212.93	Professional		$152.87	$178.77	$212.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $208.04 / $1,206.00	Professional		$136.28	$208.04	$1,206.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.44 / $290.61 / $524.09	Professional		$168.44	$290.61	$524.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.48 / $293.02 / $374.48	Professional		$177.48	$293.02	$374.48
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 $151.52 / $208.34 / $454.56	Professional		$151.52	$208.34	$454.56