Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.13 / $1,793.00 / $4,100.00	Facility		$170.13	$1,793.00	$4,100.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,847.96 / $1,847.96 / $1,847.96	Facility	50	$1,847.96	$1,847.96	$1,847.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.35 / $170.13 / $183.87	Professional		$109.35	$170.13	$183.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $578.54 / $771.40 / $964.25	Professional	50	$578.54	$771.40	$964.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $132.16 / $1,643.00	Professional		$119.81	$132.16	$1,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $232.36 / $430.62	Professional		$110.74	$232.36	$430.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.54 / $374.99 / $374.99	Professional		$243.54	$374.99	$374.99
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.43 / $241.43 / $443.85	Professional		$144.43	$241.43	$443.85