Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,621.81 / $4,073.80	Facility		$123.03	$1,621.81	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	50	$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $177.83 / $588.84	Professional		$54.95	$177.83	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $338.84 / $2,454.71	Professional		$60.26	$338.84	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $173.78 / $1,288.25	Professional		$53.70	$173.78	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $457.09 / $977.24	Professional		$436.52	$457.09	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $5,128.61	Facility		$741.31	$1,737.80	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $147.91 / $831.76	Professional		$48.98	$147.91	$831.76