Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,818.38 / $4,677.35	Facility		$812.83	$2,818.38	$4,677.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility	50	$5,248.07	$5,248.07	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $851.14 / $2,511.89	Professional		$316.23	$851.14	$2,511.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $512.86 / $691.83 / $5,011.87	Professional	50	$512.86	$691.83	$5,011.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $1,949.84	Professional		$288.40	$371.54	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $707.95 / $3,019.95	Professional		$323.59	$707.95	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,584.89 / $3,311.31	Professional		$645.65	$1,584.89	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $549.54 / $5,888.44	Facility		$165.96	$549.54	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $870.96 / $4,265.80	Professional		$295.12	$870.96	$4,265.80