Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,548.82 / $4,073.80	Facility		$257.04	$1,548.82	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $4,168.69 / $4,786.30	Facility	50	$933.25	$4,168.69	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $295.12 / $2,041.74	Professional		$109.65	$295.12	$2,041.74
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $123.03 / $123.03 / $724.44	Professional	22	$123.03	$123.03	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $426.58 / $1,174.90	Professional	50	$169.82	$426.58	$1,174.90
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $36.31 / $36.31 / $37.15	Professional	53	$36.31	$36.31	$37.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $275.42 / $2,454.71	Professional		$123.03	$275.42	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $257.04 / $616.60	Professional		$102.33	$257.04	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $575.44	Professional		$251.19	$302.00	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $5,128.61	Facility		$741.31	$1,737.80	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $229.09 / $588.84	Professional		$93.33	$229.09	$588.84