Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,862.09 / $4,073.80	Facility		$229.09	$1,862.09	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $288.40	Professional		$87.10	$102.33	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $1,258.93 / $4,073.80	Professional		$112.20	$1,258.93	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $245.47	Professional		$95.50	$123.03	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $204.17 / $218.78	Professional		$93.33	$204.17	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,760.83 / $26,302.68	Facility		$1,023.29	$6,760.83	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $245.47	Professional		$85.11	$128.82	$245.47