Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $3,769.00 / $4,975.00	Facility		$776.84	$3,769.00	$4,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.24 / $776.84 / $963.30	Professional		$303.24	$776.84	$963.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,980.59 / $2,980.59 / $2,980.59	Professional	50	$2,980.59	$2,980.59	$2,980.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $317.73 / $413.36 / $4,930.00	Professional		$317.73	$413.36	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.90 / $766.94 / $2,135.81	Professional		$359.90	$766.94	$2,135.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.84 / $1,723.51 / $1,723.51	Professional		$679.84	$1,723.51	$1,723.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $727.04 / $1,466.98 / $2,039.98	Professional		$727.04	$1,466.98	$2,039.98