Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.82 / $2,487.50 / $4,975.00	Facility		$754.82	$2,487.50	$4,975.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,999.50 / $4,201.00 / $4,975.00	Facility	50	$1,999.50	$4,201.00	$4,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.91 / $311.91 / $683.79	Professional		$311.91	$311.91	$683.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $255.83 / $341.11 / $367.58	Professional	50	$255.83	$341.11	$367.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $278.04 / $305.91 / $4,930.00	Professional		$278.04	$305.91	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.41 / $426.65 / $671.73	Professional		$273.41	$426.65	$671.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.56 / $594.91 / $594.91	Professional		$270.56	$594.91	$594.91
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 $246.05 / $406.54 / $708.81	Professional		$246.05	$406.54	$708.81