Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $912.01 / $3,162.28	Facility		$107.15	$912.01	$3,162.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $524.81 / $676.08 / $1,412.54	Facility	50	$524.81	$676.08	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $208.93	Professional		$43.65	$75.86	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $107.15 / $257.04	Professional	50	$74.13	$107.15	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $288.40 / $977.24	Professional		$48.98	$288.40	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $104.71 / $158.49	Professional		$45.71	$104.71	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $151.36	Professional		$74.13	$102.33	$151.36
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 / $74.13 / $165.96	Professional		$42.66	$74.13	$165.96