Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.26 / $3,042.50 / $6,456.00	Facility		$409.26	$3,042.50	$6,456.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,512.00 / $5,653.50 / $9,402.00	Facility	50	$4,512.00	$5,653.50	$9,402.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.65 / $175.65 / $425.07	Professional		$175.65	$175.65	$425.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.48 / $252.48 / $252.48	Professional	50	$252.48	$252.48	$252.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.64 / $190.32 / $3,430.00	Professional		$173.64	$190.32	$3,430.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $211.80 / $417.92	Professional		$162.47	$211.80	$417.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $371.54 / $371.54	Professional		$178.00	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $231.88 / $433.19	Professional		$148.40	$231.88	$433.19