Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,754.23 / $4,073.80	Facility		$151.36	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $288.40	Professional		$89.13	$123.03	$288.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $575.44 / $602.56	Professional	50	$575.44	$575.44	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $977.24	Professional		$97.72	$165.96	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $346.74	Professional		$97.72	$154.88	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $338.84	Professional		$162.18	$239.88	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,737.80	Facility		$213.80	$549.54	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $144.54 / $295.12	Professional		$74.13	$144.54	$295.12