Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.47 / $1,512.00 / $3,175.00	Facility		$130.47	$1,512.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,180.26 / $1,180.26 / $1,180.26	Facility	50	$1,180.26	$1,180.26	$1,180.26
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.19 / $10.19 / $23.52	Facility	53	$10.19	$10.19	$23.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $103.90 / $284.54	Professional		$48.59	$103.90	$284.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $594.79 / $594.79 / $594.79	Professional	50	$594.79	$594.79	$594.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $56.70 / $1,021.00	Professional		$54.91	$56.70	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $111.26 / $303.98	Professional		$50.83	$111.26	$303.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $260.08 / $260.08	Professional		$114.10	$260.08	$260.08
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 $99.53 / $195.97 / $307.83	Professional		$99.53	$195.97	$307.83