Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.75 / $3,999.00 / $5,222.89	Facility		$449.75	$3,999.00	$5,222.89
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,100.50 / $2,100.50 / $4,201.00	Facility	50	$2,100.50	$2,100.50	$4,201.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.85 / $449.75 / $2,158.21	Professional		$185.85	$449.75	$2,158.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.72 / $167.67 / $6,458.00	Professional		$165.72	$167.67	$6,458.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.84 / $1,589.14 / $4,847.85	Professional		$163.84	$1,589.14	$4,847.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,711.92 / $3,950.19 / $3,950.19	Professional		$1,711.92	$3,950.19	$3,950.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,874.60 / $4,071.85 / $4,819.17	Professional		$1,874.60	$4,071.85	$4,819.17