Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,691.53 / $4,073.80	Facility		$144.54	$2,691.53	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $2,570.40 / $2,818.38	Facility	50	$2,570.40	$2,570.40	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $524.81	Professional		$87.10	$144.54	$524.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $57.54 / $316.23 / $758.58	Professional	50	$57.54	$316.23	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $295.12 / $977.24	Professional		$107.15	$295.12	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $446.68	Professional		$91.20	$158.49	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $257.04	Professional		$123.03	$141.25	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,862.09	Facility		$213.80	$549.54	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $269.15	Professional		$91.20	$134.90	$269.15