Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.37 / $1,017.00 / $3,175.00	Facility		$87.37	$1,017.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $415.35 / $673.11 / $1,964.92	Facility	50	$415.35	$673.11	$1,964.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $57.26 / $123.41	Professional		$37.50	$57.26	$123.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.89 / $85.89 / $85.89	Professional	50	$85.89	$85.89	$85.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $46.17 / $660.00	Professional		$42.55	$46.17	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $86.82 / $152.94	Professional		$37.71	$86.82	$152.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $127.53 / $127.53	Professional		$82.37	$127.53	$127.53
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 $45.87 / $84.43 / $154.41	Professional		$45.87	$84.43	$154.41