Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.37 / $2,080.00 / $4,409.42	Facility		$468.37	$2,080.00	$4,409.42
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,680.00 / $3,175.00 / $4,536.00	Facility	50	$2,680.00	$3,175.00	$4,536.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.57 / $418.39 / $1,133.45	Professional		$191.57	$418.39	$1,133.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $63.89 / $319.47 / $2,361.50	Professional	50	$63.89	$319.47	$2,361.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $202.33 / $236.14 / $2,116.00	Professional		$202.33	$236.14	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.81 / $452.88 / $1,215.58	Professional		$207.81	$452.88	$1,215.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.92 / $1,038.63 / $1,038.63	Professional		$432.92	$1,038.63	$1,038.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.22 / $540.53 / $1,229.33	Professional		$389.22	$540.53	$1,229.33