Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.90 / $1,614.00 / $3,175.00	Facility		$253.90	$1,614.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $928.20 / $928.20 / $928.20	Facility	50	$928.20	$928.20	$928.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $191.25 / $480.90	Professional		$103.18	$191.25	$480.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $119.74 / $1,410.00	Professional		$115.96	$119.74	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $249.56 / $512.51	Professional		$107.50	$249.56	$512.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.34 / $450.08 / $450.08	Professional		$236.34	$450.08	$450.08
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 $154.87 / $268.23 / $546.96	Professional		$154.87	$268.23	$546.96