Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.50 / $1,512.00 / $3,175.00	Facility		$558.50	$1,512.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $515.00 / $3,024.00 / $3,024.00	Facility	50	$515.00	$3,024.00	$3,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.58 / $138.58 / $351.05	Professional		$138.58	$138.58	$351.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $150.58 / $596.00	Professional		$147.97	$150.58	$596.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $195.37 / $352.26	Professional		$139.97	$195.37	$352.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.09 / $306.08 / $306.08	Professional		$147.09	$306.08	$306.08
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 $130.62 / $272.14 / $365.29	Professional		$130.62	$272.14	$365.29