Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,143.76 / $5,578.00 / $6,150.00	Facility		$1,143.76	$5,578.00	$6,150.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,547.00 / $6,547.00 / $6,547.00	Facility	22	$6,547.00	$6,547.00	$6,547.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,373.97 / $7,791.00 / $9,225.00	Facility	50	$1,373.97	$7,791.00	$9,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.69 / $511.69 / $753.16	Professional		$383.69	$511.69	$753.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $456.47 / $466.18 / $5,220.00	Professional		$456.47	$466.18	$5,220.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.48 / $522.00 / $1,138.45	Professional		$395.48	$522.00	$1,138.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.68 / $480.72 / $997.49	Professional		$456.68	$480.72	$997.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.13 / $556.54 / $1,234.54	Professional		$348.13	$556.54	$1,234.54