Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.06 / $268.19 / $1,614.00	Facility		$93.06	$268.19	$1,614.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $210.11 / $210.11 / $210.11	Facility	50	$210.11	$210.11	$210.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $89.38 / $216.29	Professional		$50.71	$89.38	$216.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $54.83 / $660.00	Professional		$46.99	$54.83	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $103.60 / $213.97	Professional		$56.10	$103.60	$213.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $187.96 / $187.96	Professional		$89.85	$187.96	$187.96
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 $77.78 / $173.83 / $280.80	Professional		$77.78	$173.83	$280.80