Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,754.23 / $4,073.80	Facility		$208.93	$2,754.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $446.68	Professional		$138.04	$199.53	$446.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $446.68 / $660.69	Professional	50	$245.47	$446.68	$660.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $575.44 / $1,258.93	Professional		$134.90	$575.44	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $524.81	Professional		$169.82	$263.03	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $371.54	Professional		$173.78	$295.12	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,778.28	Facility		$213.80	$549.54	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $426.58	Professional		$128.82	$194.98	$426.58