Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.08 / $4,004.00 / $4,601.00	Facility		$242.08	$4,004.00	$4,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $146.16 / $242.08	Professional		$146.16	$146.16	$242.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $158.04 / $2,116.00	Professional		$117.42	$158.04	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.35 / $230.18 / $496.83	Professional		$139.35	$230.18	$496.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $502.85 / $502.85	Professional		$235.00	$502.85	$502.85
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 $197.71 / $308.89 / $586.29	Professional		$197.71	$308.89	$586.29