Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,698.24 / $4,073.80	Facility		$194.98	$1,698.24	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility	50	$2,951.21	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $229.09 / $478.63	Professional		$74.13	$229.09	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $630.96	Professional		$79.43	$95.50	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $549.54	Professional		$81.28	$223.87	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $724.44	Professional		$181.97	$380.19	$724.44
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 $77.62 / $218.78 / $831.76	Professional		$77.62	$218.78	$831.76