Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,884.03 / $4,570.88	Facility		$316.23	$2,884.03	$4,570.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	50	$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $794.33	Professional		$218.78	$323.59	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $912.01 / $1,174.90	Professional	50	$83.18	$912.01	$1,174.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,071.52 / $2,454.71	Professional		$229.09	$1,071.52	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $776.25	Professional		$263.03	$354.81	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $562.34	Professional		$263.03	$302.00	$562.34
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 $208.93 / $269.15 / $660.69	Professional		$208.93	$269.15	$660.69