Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,905.46 / $4,168.69	Facility		$389.05	$1,905.46	$4,168.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $3,890.45 / $5,754.40	Facility	50	$1,698.24	$3,890.45	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $588.84	Professional		$158.49	$275.42	$588.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $309.03 / $446.68	Professional	50	$218.78	$309.03	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $2,691.53 / $6,456.54	Professional		$218.78	$2,691.53	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $407.38 / $1,202.26	Professional		$158.49	$407.38	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $1,000.00	Professional		$407.38	$426.58	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $14,454.40 / $26,302.68	Facility		$2,344.23	$14,454.40	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $398.11 / $1,047.13	Professional		$144.54	$398.11	$1,047.13