Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $1,512.00 / $3,175.00	Facility		$225.30	$1,512.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $996.16 / $996.16 / $996.16	Facility	50	$996.16	$996.16	$996.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $206.73 / $264.33	Professional		$93.10	$206.73	$264.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $112.25 / $698.00	Professional		$97.80	$112.25	$698.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $186.13 / $368.37	Professional		$76.04	$186.13	$368.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.67 / $468.94 / $468.94	Professional		$165.67	$468.94	$468.94
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 $166.52 / $290.16 / $632.25	Professional		$166.52	$290.16	$632.25