Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.60 / $1,017.00 / $3,175.00	Facility		$89.60	$1,017.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $204.13 / $204.13 / $204.13	Facility	50	$204.13	$204.13	$204.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $53.77 / $116.40	Professional		$33.60	$53.77	$116.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $41.75 / $660.00	Professional		$41.75	$41.75	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $83.80 / $150.22	Professional		$36.49	$83.80	$150.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $121.27 / $121.27	Professional		$82.57	$121.27	$121.27
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $72.68 / $146.83	Professional		$40.52	$72.68	$146.83