Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,862.09 / $4,073.80	Facility		$870.96	$1,862.09	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,041.74 / $3,630.78 / $3,890.45	Facility	50	$2,041.74	$3,630.78	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $1,122.02	Professional		$257.04	$457.09	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,949.84 / $7,943.28	Professional		$363.08	$1,949.84	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $1,148.15	Professional		$398.11	$549.54	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $891.25 / $1,023.29	Professional		$457.09	$891.25	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $16,218.10 / $26,302.68	Facility		$2,344.23	$16,218.10	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $1,148.15	Professional		$389.05	$549.54	$1,148.15