Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.40 / $497.17 / $3,162.00	Facility		$141.40	$497.17	$3,162.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $214.33 / $572.47 / $588.64	Facility	50	$214.33	$572.47	$588.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $87.32 / $245.79	Professional		$57.68	$87.32	$245.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $175.82 / $175.82 / $175.82	Professional	50	$175.82	$175.82	$175.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $73.90 / $660.00	Professional		$68.01	$73.90	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $135.15 / $280.43	Professional		$59.55	$135.15	$280.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $230.87 / $230.87	Professional		$131.66	$230.87	$230.87
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 $80.38 / $180.03 / $279.52	Professional		$80.38	$180.03	$279.52