Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.63 / $2,080.00 / $4,100.00	Facility		$462.63	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $53.02 / $53.02 / $231.32	Facility	52	$53.02	$53.02	$231.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.03 / $106.03 / $462.63	Professional		$106.03	$106.03	$462.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.66 / $110.66 / $1,951.00	Professional		$110.66	$110.66	$1,951.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $425.37 / $1,060.75	Professional		$109.18	$425.37	$1,060.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.80 / $1,010.58 / $1,010.58	Professional		$449.80	$1,010.58	$1,010.58
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 $451.40 / $759.00 / $1,167.80	Professional		$451.40	$759.00	$1,167.80