Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.55 / $1,556.00 / $3,175.00	Facility		$119.55	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $204.13 / $204.13 / $214.33	Facility	50	$204.13	$204.13	$214.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $108.57 / $131.78	Professional		$51.44	$108.57	$131.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $174.63 / $174.63 / $174.63	Professional	50	$174.63	$174.63	$174.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $60.86 / $660.00	Professional		$60.34	$60.86	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $130.82 / $309.77	Professional		$61.16	$130.82	$309.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.82 / $268.64 / $268.64	Professional		$117.82	$268.64	$268.64
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 $88.96 / $210.02 / $317.97	Professional		$88.96	$210.02	$317.97