Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.75 / $1,878.00 / $4,047.00	Facility		$867.75	$1,878.00	$4,047.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,036.00 / $3,670.00 / $3,854.00	Facility	50	$2,036.00	$3,670.00	$3,854.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.82 / $459.30 / $1,111.50	Professional		$369.82	$459.30	$1,111.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $474.17 / $4,131.00	Professional		$400.00	$474.17	$4,131.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.10 / $573.86 / $1,156.41	Professional		$458.10	$573.86	$1,156.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.51 / $1,014.58 / $1,014.58	Professional		$488.51	$1,014.58	$1,014.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.86 / $653.49 / $1,210.82	Professional		$397.86	$653.49	$1,210.82