Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.32 / $1,340.00 / $3,175.00	Facility		$101.32	$1,340.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,078.60 / $1,078.60 / $1,078.60	Facility	50	$1,078.60	$1,078.60	$1,078.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $78.48 / $182.85	Professional		$41.87	$78.48	$182.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $50.87 / $1,951.00	Professional		$46.04	$50.87	$1,951.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $104.95 / $202.86	Professional		$53.79	$104.95	$202.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $175.28 / $175.28	Professional		$93.83	$175.28	$175.28
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $107.49 / $207.47	Professional		$73.27	$107.49	$207.47