Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,698.24 / $4,073.80	Facility		$93.33	$1,698.24	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $147.91 / $1,288.25 / $1,348.96	Facility	50	$147.91	$1,288.25	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $263.03	Professional		$51.29	$93.33	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $295.12 / $812.83	Professional	50	$141.25	$295.12	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $331.13 / $1,258.93	Professional		$56.23	$331.13	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $109.65 / $218.78	Professional		$47.86	$109.65	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $208.93	Professional		$107.15	$114.82	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $549.54 / $5,888.44	Facility		$165.96	$549.54	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $194.98	Professional		$47.86	$97.72	$194.98