Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.76 / $1,017.00 / $3,175.00	Facility		$123.76	$1,017.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $204.13 / $496.52 / $496.52	Facility	50	$204.13	$496.52	$496.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $77.65 / $187.91	Professional		$53.12	$77.65	$187.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $374.65 / $374.65 / $374.65	Professional	50	$374.65	$374.65	$374.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $69.92 / $1,643.00	Professional		$61.20	$69.92	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $127.45 / $210.65	Professional		$55.90	$127.45	$210.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $174.14 / $174.14	Professional		$118.49	$174.14	$174.14
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 $68.64 / $138.50 / $206.12	Professional		$68.64	$138.50	$206.12