Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,754.23 / $4,073.80	Facility		$309.03	$2,754.23	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility	50	$2,398.83	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $467.74 / $1,202.26	Professional		$234.42	$467.74	$1,202.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $1,412.54 / $1,862.09	Professional	50	$602.56	$1,412.54	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,230.27 / $2,454.71	Professional		$223.87	$1,230.27	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $575.44 / $891.25	Professional		$288.40	$575.44	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $1,071.52	Professional		$263.03	$309.03	$1,071.52
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 $363.08 / $501.19 / $1,318.26	Professional		$363.08	$501.19	$1,318.26