Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.44 / $240.33 / $3,162.00	Facility		$83.44	$240.33	$3,162.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $30.36 / $158.69 / $3,024.00	Facility	50	$30.36	$158.69	$3,024.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $17.23 / $19.82 / $29.84	Facility	52	$17.23	$19.82	$29.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $51.89 / $83.63	Professional		$11.04	$51.89	$83.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.34 / $104.68 / $145.72	Professional	50	$52.34	$104.68	$145.72
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.23 / $17.23 / $25.95	Professional	52	$17.23	$17.23	$25.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $41.23 / $660.00	Professional		$35.68	$41.23	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $55.38 / $110.41	Professional		$32.92	$55.38	$110.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $110.44 / $110.44	Professional		$52.80	$110.44	$110.44
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 $45.06 / $95.28 / $128.76	Professional		$45.06	$95.28	$128.76