Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $1,614.00 / $7,727.00	Facility		$24.14	$1,614.00	$7,727.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $52.14 / $52.14 / $52.14	Facility	50	$52.14	$52.14	$52.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $27.79 / $49.58	Professional		$24.14	$27.79	$49.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $170.09 / $170.09 / $170.09	Professional	50	$170.09	$170.09	$170.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $75.94 / $823.00	Professional		$24.73	$75.94	$823.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $59.87 / $96.29	Professional		$44.13	$59.87	$96.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $22.20 / $42.22	Professional		$19.17	$22.20	$42.22
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $40.85 / $74.64	Professional		$24.88	$40.85	$74.64