Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.31 / $1,793.00 / $4,100.00	Facility		$190.31	$1,793.00	$4,100.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $390.19 / $390.19 / $771.39	Facility	50	$390.19	$390.19	$771.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.88 / $149.66 / $190.31	Professional		$111.88	$149.66	$190.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $183.55 / $823.00	Professional		$132.08	$183.55	$823.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $168.91 / $390.61	Professional		$109.55	$168.91	$390.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $268.48 / $338.65	Professional		$159.19	$268.48	$338.65
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 $111.70 / $174.98 / $401.69	Professional		$111.70	$174.98	$401.69