Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $1,380.50 / $3,175.00	Facility		$122.37	$1,380.50	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $91.70 / $1,162.88 / $1,512.00	Facility	50	$91.70	$1,162.88	$1,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $84.51 / $227.81	Professional		$48.93	$84.51	$227.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $16.60 / $316.05 / $632.10	Professional	50	$16.60	$316.05	$632.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $55.90 / $1,021.00	Professional		$55.20	$55.90	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $109.52 / $240.88	Professional		$51.18	$109.52	$240.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.49 / $210.89 / $210.89	Professional		$112.49	$210.89	$210.89
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 $79.83 / $183.71 / $249.62	Professional		$79.83	$183.71	$249.62