Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.41 / $1,614.00 / $3,175.00	Facility		$142.41	$1,614.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,023.00 / $4,023.00 / $4,023.00	Facility	50	$4,023.00	$4,023.00	$4,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $142.41 / $367.75	Professional		$47.13	$142.41	$367.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $55.02 / $472.00	Professional		$50.76	$55.02	$472.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $134.36 / $625.09	Professional		$48.69	$134.36	$625.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $301.52 / $594.36	Professional		$103.18	$301.52	$594.36
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.51 / $459.07 / $879.07	Professional		$247.51	$459.07	$879.07