Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $239.88	Professional		$91.20	$158.49	$239.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $2,884.03	Professional		$93.33	$104.71	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $467.74 / $588.84	Professional		$181.97	$467.74	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $257.04 / $371.54	Professional		$245.47	$257.04	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,202.26	Facility		$891.25	$1,047.13	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $269.15	Professional		$79.43	$169.82	$269.15