Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.75 / $2,080.00 / $4,641.12	Facility		$815.75	$2,080.00	$4,641.12
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,206.50 / $5,206.50 / $5,206.50	Facility	50	$5,206.50	$5,206.50	$5,206.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.07 / $640.60 / $2,056.40	Professional		$316.07	$640.60	$2,056.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $517.73 / $517.73 / $517.73	Professional	50	$517.73	$517.73	$517.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $332.68 / $352.05 / $603.00	Professional		$332.68	$352.05	$603.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.62 / $739.22 / $3,534.74	Professional		$325.62	$739.22	$3,534.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $644.04 / $1,687.43 / $3,311.31	Professional		$644.04	$1,687.43	$3,311.31
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 $1,495.62 / $3,637.31 / $4,464.46	Professional		$1,495.62	$3,637.31	$4,464.46