Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.59 / $2,001.74 / $4,477.39	Facility		$212.59	$2,001.74	$4,477.39
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,103.66 / $2,228.01 / $4,762.50	Facility	50	$1,103.66	$2,228.01	$4,762.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $171.49 / $436.10	Professional		$87.29	$171.49	$436.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.57 / $30.05 / $654.15	Professional	50	$29.57	$30.05	$654.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $100.75 / $1,410.00	Professional		$97.57	$100.75	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $226.48 / $471.19	Professional		$93.08	$226.48	$471.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.64 / $415.77 / $415.77	Professional		$203.64	$415.77	$415.77
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 $158.69 / $335.87 / $499.37	Professional		$158.69	$335.87	$499.37