Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,548.82 / $4,073.80	Facility		$85.11	$1,548.82	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.50 / $288.40	Professional		$43.65	$95.50	$288.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $245.47 / $478.63	Professional	50	$120.23	$245.47	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $288.40 / $977.24	Professional		$46.77	$288.40	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.10 / $199.53	Professional		$45.71	$87.10	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $190.55	Professional		$93.33	$102.33	$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 $42.66 / $85.11 / $173.78	Professional		$42.66	$85.11	$173.78