Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,698.24 / $4,073.80	Facility		$141.25	$1,698.24	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $912.01 / $1,584.89 / $3,019.95	Facility	50	$912.01	$1,584.89	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $229.09 / $1,202.26	Professional		$57.54	$229.09	$1,202.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $218.78 / $741.31	Professional	50	$95.50	$218.78	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $1,258.93	Professional		$56.23	$83.18	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $158.49 / $602.56	Professional		$54.95	$158.49	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $288.40 / $575.44	Professional		$128.82	$288.40	$575.44
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 $54.95 / $154.88 / $501.19	Professional		$54.95	$154.88	$501.19