Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.64 / $3,575.00 / $5,125.50	Facility		$909.64	$3,575.00	$5,125.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,854.00 / $3,854.00 / $5,781.00	Facility	50	$3,854.00	$3,854.00	$5,781.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.55 / $535.10 / $1,294.94	Professional		$149.55	$535.10	$1,294.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.73 / $203.60 / $1,845.00	Professional		$188.73	$203.60	$1,845.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $519.79 / $1,471.11	Professional		$154.46	$519.79	$1,471.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.38 / $1,164.83 / $1,164.83	Professional		$514.38	$1,164.83	$1,164.83
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 $590.05 / $1,198.01 / $1,519.72	Professional		$590.05	$1,198.01	$1,519.72