Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,754.23 / $4,073.80	Facility		$275.42	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $257.04 / $1,148.15	Professional		$66.07	$257.04	$1,148.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $269.15 / $575.44	Professional	50	$97.72	$269.15	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $1,258.93	Professional		$64.57	$95.50	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $177.83 / $630.96	Professional		$63.10	$177.83	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $602.56	Professional		$147.91	$309.03	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $549.54 / $5,888.44	Facility		$165.96	$549.54	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $173.78 / $537.03	Professional		$63.10	$173.78	$537.03