Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.06 / $1,556.00 / $3,175.00	Facility		$193.06	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,977.00 / $2,977.00 / $2,977.00	Facility	50	$2,977.00	$2,977.00	$2,977.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $192.83 / $342.40	Professional		$80.06	$192.83	$342.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.58 / $83.58 / $472.00	Professional		$83.58	$83.58	$472.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $225.67 / $792.66	Professional		$81.70	$225.67	$792.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.93 / $373.90 / $724.74	Professional		$181.93	$373.90	$724.74
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 $211.02 / $396.69 / $877.46	Professional		$211.02	$396.69	$877.46