Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.17 / $2,080.00 / $4,100.00	Facility		$380.17	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,417.00 / $3,417.00 / $3,977.38	Facility	50	$3,417.00	$3,417.00	$3,977.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.40 / $316.04 / $458.34	Professional		$189.40	$316.04	$458.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.17 / $185.07 / $2,116.00	Professional		$169.17	$185.07	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.27 / $311.57 / $684.22	Professional		$174.27	$311.57	$684.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $599.91 / $599.91	Professional		$280.50	$599.91	$599.91
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.82 / $444.73 / $714.77	Professional		$241.82	$444.73	$714.77