Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.13 / $1,017.00 / $3,175.00	Facility		$204.13	$1,017.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $194.85 / $194.85 / $214.33	Facility	50	$194.85	$194.85	$214.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $112.29 / $367.49	Professional		$97.82	$112.29	$367.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $606.90 / $729.87 / $1,156.00	Professional	50	$606.90	$729.87	$1,156.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.64 / $119.62 / $660.00	Professional		$113.64	$119.62	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $191.11 / $367.16	Professional		$107.85	$191.11	$367.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.16 / $323.12 / $323.12	Professional		$252.16	$323.12	$323.12
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 $105.41 / $199.61 / $382.45	Professional		$105.41	$199.61	$382.45