Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,570.40 / $4,073.80	Facility		$389.05	$2,570.40	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $851.14	Professional		$239.88	$380.19	$851.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,023.29 / $1,122.02 / $1,698.24	Professional	50	$1,023.29	$1,122.02	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,071.52 / $2,454.71	Professional		$245.47	$1,071.52	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $851.14	Professional		$234.42	$398.11	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $691.83	Professional		$323.59	$371.54	$691.83
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 $218.78 / $338.84 / $676.08	Professional		$218.78	$338.84	$676.08