Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,548.82 / $4,073.80	Facility		$208.93	$1,548.82	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,096.48 / $2,137.96 / $4,786.30	Facility	50	$1,096.48	$2,137.96	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $213.80 / $776.25	Professional		$91.20	$213.80	$776.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $416.87 / $1,122.02	Professional	50	$128.82	$416.87	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $208.93 / $2,454.71	Professional		$100.00	$208.93	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $426.58	Professional		$83.18	$194.98	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $416.87	Professional		$204.17	$218.78	$416.87
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 $79.43 / $190.55 / $436.52	Professional		$79.43	$190.55	$436.52