Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,754.23 / $4,073.80	Facility		$309.03	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $223.87 / $537.03	Professional		$83.18	$223.87	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $112.20 / $112.20	Professional	50	$112.20	$112.20	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $645.65 / $1,258.93	Professional		$77.62	$645.65	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $204.17 / $575.44	Professional		$77.62	$204.17	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $575.44	Professional		$288.40	$309.03	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,548.82	Facility		$213.80	$549.54	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $194.98 / $512.86	Professional		$72.44	$194.98	$512.86