Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $1,793.00 / $4,217.00	Facility		$263.39	$1,793.00	$4,217.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $928.20 / $2,053.07 / $4,320.00	Facility	50	$928.20	$2,053.07	$4,320.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.15 / $22.15 / $52.10	Facility	53	$22.15	$22.15	$52.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $237.80 / $630.45	Professional		$95.09	$237.80	$630.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $309.64 / $409.58 / $1,276.96	Professional	50	$309.64	$409.58	$1,276.96
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $22.15 / $22.15 / $52.10	Professional	53	$22.15	$22.15	$52.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $123.79 / $1,410.00	Professional		$119.88	$123.79	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.38 / $258.02 / $675.24	Professional		$113.38	$258.02	$675.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $579.20 / $579.20	Professional		$250.12	$579.20	$579.20
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 $216.02 / $460.26 / $685.55	Professional		$216.02	$460.26	$685.55