Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,698.24 / $4,073.80	Facility		$114.82	$1,698.24	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $123.03 / $302.00	Professional		$46.77	$123.03	$302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $575.44 / $724.44	Professional	50	$125.89	$575.44	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $630.96	Professional		$47.86	$61.66	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $138.04 / $346.74	Professional		$51.29	$138.04	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $380.19	Professional		$109.65	$181.97	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $549.54 / $5,888.44	Facility		$165.96	$549.54	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $131.83 / $436.52	Professional		$46.77	$131.83	$436.52