Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.67 / $3,054.00 / $6,945.00	Facility		$957.67	$3,054.00	$6,945.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,817.00 / $2,817.00 / $2,817.00	Facility	50	$2,817.00	$2,817.00	$2,817.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.99 / $752.18 / $957.67	Professional		$519.99	$752.18	$957.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.40 / $252.40 / $1,438.09	Professional	50	$252.40	$252.40	$1,438.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $632.28 / $844.34 / $5,220.00	Professional		$632.28	$844.34	$5,220.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.41 / $832.48 / $1,972.59	Professional		$553.41	$832.48	$1,972.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $810.24 / $1,352.88 / $1,710.17	Professional		$810.24	$1,352.88	$1,710.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.73 / $698.92 / $2,096.76	Professional		$561.73	$698.92	$2,096.76