Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.18 / $1,440.00 / $3,451.25	Facility		$149.18	$1,440.00	$3,451.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $910.08 / $1,289.45 / $3,024.00	Facility	50	$910.08	$1,289.45	$3,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $177.66 / $629.15	Professional		$54.79	$177.66	$629.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $95.61 / $584.85 / $1,114.00	Professional	50	$95.61	$584.85	$1,114.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $63.97 / $1,021.00	Professional		$60.55	$63.97	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $157.99 / $682.32	Professional		$59.25	$157.99	$682.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.56 / $569.95 / $569.95	Professional		$129.56	$569.95	$569.95
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.10 / $226.90 / $674.60	Professional		$166.10	$226.90	$674.60