Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,995.26 / $4,073.80	Facility		$467.74	$1,995.26	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $3,162.28 / $4,570.88	Facility	50	$2,691.53	$3,162.28	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $467.74 / $2,570.40	Professional		$190.55	$467.74	$2,570.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $630.96 / $2,344.23	Professional	50	$288.40	$630.96	$2,344.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $4,073.80	Professional		$177.83	$263.03	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $446.68 / $1,071.52	Professional		$194.98	$446.68	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $1,047.13	Professional		$436.52	$537.03	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $9,549.93 / $26,302.68	Facility		$2,344.23	$9,549.93	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $436.52 / $954.99	Professional		$204.17	$436.52	$954.99