Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.17 / $1,254.33 / $3,175.00	Facility		$778.17	$1,254.33	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $415.35 / $415.35 / $984.24	Facility	50	$415.35	$415.35	$984.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $69.53 / $152.86	Professional		$51.90	$69.53	$152.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $63.01 / $660.00	Professional		$63.01	$63.01	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $118.59 / $231.80	Professional		$57.80	$118.59	$231.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.24 / $191.16 / $191.16	Professional		$128.24	$191.16	$191.16
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $549.00 / $5,940.00	Facility		$165.00	$549.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $103.12 / $231.44	Professional		$58.58	$103.12	$231.44