Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $1,698.24 / $7,762.47	Facility		$61.66	$1,698.24	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $165.96	Professional		$53.70	$89.13	$165.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $186.21 / $186.21	Professional	50	$186.21	$186.21	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $295.12 / $977.24	Professional		$53.70	$295.12	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $213.80	Professional		$53.70	$75.86	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $154.88	Professional		$70.79	$83.18	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,548.82	Facility		$213.80	$549.54	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $151.36	Professional		$44.67	$64.57	$151.36