Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.79 / $5,076.00 / $7,727.00	Facility		$626.79	$5,076.00	$7,727.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,538.00 / $4,581.00 / $5,578.00	Facility	50	$2,538.00	$4,581.00	$5,578.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.91 / $542.19 / $691.90	Professional		$285.91	$542.19	$691.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.48 / $291.94 / $583.87	Professional	50	$109.48	$291.94	$583.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $280.49 / $4,930.00	Professional		$254.59	$280.49	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.11 / $467.28 / $1,184.81	Professional		$251.11	$467.28	$1,184.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $462.41 / $1,019.01 / $1,019.01	Professional		$462.41	$1,019.01	$1,019.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.55 / $628.76 / $1,214.11	Professional		$350.55	$628.76	$1,214.11