Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.49 / $1,117.00 / $3,175.00	Facility		$86.49	$1,117.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $88.32 / $88.32 / $88.32	Facility	50	$88.32	$88.32	$88.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $50.50 / $90.53	Professional		$35.71	$50.50	$90.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $43.39 / $660.00	Professional		$41.39	$43.39	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $80.75 / $148.22	Professional		$35.89	$80.75	$148.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.13 / $124.48 / $124.48	Professional		$80.13	$124.48	$124.48
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 $42.67 / $65.70 / $150.71	Professional		$42.67	$65.70	$150.71