Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,548.82 / $4,073.80	Facility		$158.49	$1,548.82	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	50	$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $181.97 / $489.78	Professional		$64.57	$181.97	$489.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $275.42 / $275.42	Professional	50	$275.42	$275.42	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $288.40 / $954.99	Professional		$61.66	$288.40	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $173.78 / $467.74	Professional		$69.18	$173.78	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $549.54	Professional		$151.36	$269.15	$549.54
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 $64.57 / $181.97 / $630.96	Professional		$64.57	$181.97	$630.96