Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,698.24 / $4,365.16	Facility		$275.42	$1,698.24	$4,365.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $562.34 / $4,786.30 / $4,786.30	Facility	50	$562.34	$4,786.30	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $257.04 / $891.25	Professional		$114.82	$257.04	$891.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $436.52 / $2,089.30	Professional	50	$35.48	$436.52	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $2,454.71	Professional		$125.89	$190.55	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $275.42 / $602.56	Professional		$114.82	$275.42	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $288.40 / $588.84	Professional		$269.15	$288.40	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $5,128.61	Facility		$741.31	$1,737.80	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $524.81	Professional		$131.83	$229.09	$524.81