Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.05 / $152.81 / $3,175.00	Facility		$43.05	$152.81	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $17.79 / $47.26	Professional		$17.79	$17.79	$47.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $29.46 / $34.65 / $72.73	Professional	50	$29.46	$34.65	$72.73
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.90 / $8.90 / $8.90	Professional	52	$8.90	$8.90	$8.90
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $3.56 / $3.56 / $3.56	Professional	53	$3.56	$3.56	$3.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $19.27 / $21.00	Professional		$19.04	$19.27	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $19.44 / $42.43	Professional		$13.57	$19.44	$42.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $38.70 / $38.70	Professional		$18.11	$38.70	$38.70
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 $13.94 / $29.54 / $45.12	Professional		$13.94	$29.54	$45.12