Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,698.24 / $4,168.69	Facility		$380.19	$1,698.24	$4,168.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	50	$3,388.44	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $954.99	Professional		$173.78	$288.40	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $954.99 / $1,380.38	Professional	50	$316.23	$954.99	$1,380.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,819.70 / $4,073.80	Professional		$181.97	$1,819.70	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $691.83	Professional		$165.96	$295.12	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $602.56	Professional		$288.40	$302.00	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $7,413.10 / $26,302.68	Facility		$1,023.29	$7,413.10	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $575.44	Professional		$147.91	$309.03	$575.44