Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.53 / $1,623.71 / $3,175.00	Facility		$245.53	$1,623.71	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $105.38 / $105.38	Professional		$105.38	$105.38	$105.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $112.80 / $2,116.00	Professional		$103.27	$112.80	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $133.53 / $247.69	Professional		$99.84	$133.53	$247.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.25 / $220.95 / $220.95	Professional		$105.25	$220.95	$220.95
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $143.59 / $257.62	Professional		$91.90	$143.59	$257.62