Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $1,698.24 / $4,073.80	Facility		$43.65	$1,698.24	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $29.51 / $128.82	Professional		$10.00	$29.51	$128.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $169.82 / $588.84	Professional		$19.50	$169.82	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $29.51 / $64.57	Professional		$12.59	$29.51	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $104.71	Professional		$50.12	$57.54	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $549.54 / $5,888.44	Facility		$165.96	$549.54	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $30.90 / $58.88	Professional		$13.49	$30.90	$58.88