Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $2,080.00 / $4,975.00	Facility		$295.70	$2,080.00	$4,975.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,134.00 / $3,134.00 / $3,134.00	Facility	50	$3,134.00	$3,134.00	$3,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $216.67 / $322.93	Professional		$133.15	$216.67	$322.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $143.55 / $660.00	Professional		$105.60	$143.55	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $212.21 / $442.49	Professional		$129.91	$212.21	$442.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.98 / $452.44 / $452.44	Professional		$213.98	$452.44	$452.44
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 $162.88 / $278.61 / $527.51	Professional		$162.88	$278.61	$527.51