Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.36 / $1,117.00 / $3,175.00	Facility		$182.36	$1,117.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $700.00 / $1,404.80 / $4,020.00	Facility	50	$700.00	$1,404.80	$4,020.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $173.25 / $211.92	Professional		$64.23	$173.25	$211.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $139.43 / $193.24 / $745.17	Professional	50	$139.43	$193.24	$745.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $83.54 / $726.91	Professional		$83.54	$83.54	$726.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $218.46 / $465.38	Professional		$83.69	$218.46	$465.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.46 / $383.88 / $383.88	Professional		$185.46	$383.88	$383.88
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 $145.88 / $313.51 / $464.77	Professional		$145.88	$313.51	$464.77