Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $4,073.80 / $4,570.88	Facility		$588.84	$4,073.80	$4,570.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	50	$3,388.44	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,096.48	Professional		$407.38	$588.84	$1,096.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $1,288.25 / $1,288.25	Professional	50	$676.08	$1,288.25	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,778.28 / $5,128.61	Professional		$478.63	$1,778.28	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,659.59	Professional		$426.58	$660.69	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,348.96	Professional		$630.96	$1,047.13	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $10,000.00 / $26,302.68	Facility		$2,344.23	$10,000.00	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $1,318.26	Professional		$380.19	$549.54	$1,318.26