Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.76 / $2,036.00 / $4,601.00	Facility		$759.76	$2,036.00	$4,601.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,417.00 / $3,417.00 / $3,417.00	Facility	50	$3,417.00	$3,417.00	$3,417.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.01 / $586.23 / $759.76	Professional		$408.01	$586.23	$759.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $491.96 / $656.53 / $4,290.00	Professional		$491.96	$656.53	$4,290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.04 / $663.04 / $1,563.02	Professional		$431.04	$663.04	$1,563.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.40 / $1,052.63 / $1,355.10	Professional		$642.40	$1,052.63	$1,355.10
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 $443.14 / $790.88 / $1,607.38	Professional		$443.14	$790.88	$1,607.38