Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.55 / $1,615.55 / $3,175.00	Facility		$174.55	$1,615.55	$3,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $36.07 / $36.07 / $70.28	Facility	52	$36.07	$36.07	$70.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $140.55 / $224.00	Professional		$72.13	$140.55	$224.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $75.06 / $1,951.00	Professional		$69.52	$75.06	$1,951.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $141.44 / $312.52	Professional		$74.08	$141.44	$312.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $311.45 / $311.45	Professional		$139.97	$311.45	$311.45
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $279.48 / $359.91	Professional		$122.34	$279.48	$359.91