Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.72 / $1,017.00 / $3,175.00	Facility		$160.72	$1,017.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $542.62 / $542.62 / $542.62	Facility	50	$542.62	$542.62	$542.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $158.08 / $255.59	Professional		$64.12	$158.08	$255.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $67.81 / $676.00	Professional		$67.81	$67.81	$676.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $180.04 / $591.69	Professional		$69.65	$180.04	$591.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.99 / $277.77 / $544.40	Professional		$149.99	$277.77	$544.40
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 $161.72 / $420.53 / $659.12	Professional		$161.72	$420.53	$659.12