Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $243.11 / $323.61	Facility		$63.79	$243.11	$323.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $364.78 / $364.78 / $581.04	Facility	50	$364.78	$364.78	$581.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $90.98 / $172.90	Professional		$26.36	$90.98	$172.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.45 / $220.45 / $220.45	Professional	50	$220.45	$220.45	$220.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $22.86 / $660.00	Professional		$22.86	$22.86	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $84.08 / $258.14	Professional		$25.05	$84.08	$258.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $207.44 / $207.44	Professional		$58.22	$207.44	$207.44
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $549.00 / $5,940.00	Facility		$165.00	$549.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $140.97 / $251.15	Professional		$75.70	$140.97	$251.15