Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $1,698.24 / $4,073.80	Facility		$39.81	$1,698.24	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $109.65	Professional		$15.14	$30.20	$109.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $21.38 / $50.12 / $120.23	Professional	50	$21.38	$50.12	$120.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.02 / $12.02 / $12.02	Professional	52	$12.02	$12.02	$12.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $23.99	Professional		$15.14	$18.20	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $42.66	Professional		$12.59	$17.38	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $38.90	Professional		$19.05	$30.20	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $457.09 / $1,548.82	Facility		$213.80	$457.09	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $42.66	Professional		$12.30	$17.78	$42.66