Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.39 / $832.10 / $2,680.00	Facility		$92.39	$832.10	$2,680.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $447.50 / $522.95 / $853.44	Facility	50	$447.50	$522.95	$853.44
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $22.94 / $33.86 / $100.06	Facility	52	$22.94	$33.86	$100.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $67.70 / $127.88	Professional		$15.48	$67.70	$127.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.73 / $92.96 / $178.01	Professional	50	$19.73	$92.96	$178.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $56.73 / $660.00	Professional		$50.18	$56.73	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $106.19 / $181.56	Professional		$46.41	$106.19	$181.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $150.66 / $150.66	Professional		$102.27	$150.66	$150.66
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 $60.50 / $132.06 / $226.00	Professional		$60.50	$132.06	$226.00