Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.25 / $4,100.00 / $9,387.16	Facility		$942.25	$4,100.00	$9,387.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,769.00 / $22,350.37 / $33,560.50	Facility	50	$3,769.00	$22,350.37	$33,560.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $1,101.94 / $2,685.15	Professional		$312.25	$1,101.94	$2,685.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,834.00 / $1,834.00 / $1,834.00	Professional	50	$1,834.00	$1,834.00	$1,834.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $343.17 / $343.17 / $566.23	Professional		$343.17	$343.17	$566.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.77 / $1,039.64 / $4,683.99	Professional		$373.77	$1,039.64	$4,683.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $815.76 / $2,462.65 / $4,755.77	Professional		$815.76	$2,462.65	$4,755.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,599.23 / $3,961.88 / $6,411.94	Professional		$1,599.23	$3,961.88	$6,411.94