Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $549.54 / $50,118.72	Facility		$223.87	$549.54	$50,118.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $234.42	Professional		$223.87	$223.87	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $724.44	Professional		$309.03	$346.74	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $223.87 / $223.87	Facility		$213.80	$223.87	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $223.87	Professional		$190.55	$190.55	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $363.08	Professional		$223.87	$223.87	$363.08