Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,584.89 / $4,073.80	Facility		$173.78	$1,584.89	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $295.12	Professional		$112.20	$165.96	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $331.13 / $371.54	Professional	50	$177.83	$331.13	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $295.12 / $977.24	Professional		$117.49	$295.12	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $380.19	Professional		$107.15	$141.25	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $309.03	Professional		$144.54	$263.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,778.28	Facility		$213.80	$549.54	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $323.59	Professional		$87.10	$125.89	$323.59