Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.46 / $2,464.00 / $6,268.00	Facility		$994.46	$2,464.00	$6,268.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,696.00 / $5,998.50 / $6,301.50	Facility	50	$3,696.00	$5,998.50	$6,301.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.81 / $537.96 / $1,105.83	Professional		$426.81	$537.96	$1,105.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $409.64 / $450.82 / $4,290.00	Professional		$409.64	$450.82	$4,290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.60 / $558.34 / $1,435.15	Professional		$443.60	$558.34	$1,435.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.45 / $1,212.24 / $1,212.24	Professional		$581.45	$1,212.24	$1,212.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.71 / $1,083.03 / $1,400.84	Professional		$484.71	$1,083.03	$1,400.84