Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.85 / $1,556.00 / $3,175.00	Facility		$86.85	$1,556.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $68.48 / $116.82	Professional		$42.71	$68.48	$116.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $187.95 / $187.95 / $187.95	Professional	50	$187.95	$187.95	$187.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $55.00 / $660.00	Professional		$52.37	$55.00	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $104.36 / $231.16	Professional		$46.67	$104.36	$231.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $192.54 / $192.54	Professional		$101.39	$192.54	$192.54
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 $62.92 / $145.72 / $233.11	Professional		$62.92	$145.72	$233.11