Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.43 / $448.21 / $3,162.00	Facility		$130.43	$448.21	$3,162.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $80.98 / $80.98 / $97.82	Facility	54	$80.98	$80.98	$97.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $115.95 / $202.50	Professional		$85.31	$115.95	$202.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $108.53 / $660.00	Professional		$108.53	$108.53	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $122.66 / $296.88	Professional		$94.12	$122.66	$296.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.58 / $297.55 / $297.55	Professional		$132.58	$297.55	$297.55
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $549.00 / $5,940.00	Facility		$165.00	$549.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.27 / $115.42 / $343.84	Professional		$87.27	$115.42	$343.84