Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.45 / $1,614.00 / $3,175.00	Facility		$233.45	$1,614.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,465.50 / $4,465.50 / $4,465.50	Facility	50	$4,465.50	$4,465.50	$4,465.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $233.45 / $233.45	Professional		$135.47	$233.45	$233.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $121.03 / $660.00	Professional		$92.12	$121.03	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.22 / $203.06 / $428.52	Professional		$119.22	$203.06	$428.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.20 / $441.24 / $441.24	Professional		$198.20	$441.24	$441.24
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 $175.55 / $255.13 / $525.72	Professional		$175.55	$255.13	$525.72