Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,584.89 / $4,073.80	Facility		$85.11	$1,584.89	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	50	$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $208.93	Professional		$57.54	$97.72	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $218.78 / $346.74	Professional	50	$112.20	$218.78	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $288.40 / $977.24	Professional		$54.95	$288.40	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $199.53	Professional		$57.54	$102.33	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $190.55	Professional		$95.50	$128.82	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,737.80	Facility		$213.80	$549.54	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $169.82	Professional		$51.29	$95.50	$169.82