Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,698.24 / $4,073.80	Facility		$234.42	$1,698.24	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $204.17 / $338.84	Professional		$83.18	$204.17	$338.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	50	$72.44	$72.44	$72.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $338.84 / $977.24	Professional		$91.20	$338.84	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $426.58	Professional		$112.20	$199.53	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $436.52	Professional		$204.17	$218.78	$436.52
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 $100.00 / $199.53 / $416.87	Professional		$100.00	$199.53	$416.87