Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.52 / $1,793.00 / $4,100.00	Facility		$375.52	$1,793.00	$4,100.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $317.17 / $317.17 / $1,675.50	Facility	50	$317.17	$317.17	$1,675.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $167.73 / $375.52	Professional		$69.89	$167.73	$375.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $71.69 / $472.00	Professional		$71.69	$71.69	$472.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $184.15 / $829.40	Professional		$71.84	$184.15	$829.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.26 / $388.19 / $758.40	Professional		$335.26	$388.19	$758.40
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $1,463.00 / $6,342.00	Facility		$665.00	$1,463.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.80 / $433.66 / $878.73	Professional		$165.80	$433.66	$878.73