Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $1,587.50 / $4,100.00	Facility		$173.17	$1,587.50	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $150.34 / $173.17	Professional		$100.70	$150.34	$173.17
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $332.91 / $332.91 / $332.91	Professional	50	$332.91	$332.91	$332.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $180.35 / $823.00	Professional		$132.94	$180.35	$823.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $141.50 / $357.31	Professional		$107.10	$141.50	$357.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.32 / $270.25 / $309.77	Professional		$147.32	$270.25	$309.77
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 $95.83 / $124.12 / $372.36	Professional		$95.83	$124.12	$372.36