Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.58 / $1,190.56 / $3,175.00	Facility		$347.58	$1,190.56	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $461.96 / $461.96 / $461.96	Facility	50	$461.96	$461.96	$461.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.04 / $143.18 / $366.80	Professional		$123.04	$143.18	$366.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $347.41 / $521.11 / $561.54	Professional	50	$347.41	$521.11	$561.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $182.35 / $660.00	Professional		$136.27	$182.35	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $246.07 / $361.25	Professional		$125.14	$246.07	$361.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $322.16 / $322.16	Professional		$277.00	$322.16	$322.16
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 $127.40 / $219.29 / $384.29	Professional		$127.40	$219.29	$384.29