Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.22 / $1,117.00 / $3,175.00	Facility		$219.22	$1,117.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $139.97 / $139.97 / $164.42	Facility	54	$139.97	$139.97	$164.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $196.60 / $332.57	Professional		$155.22	$196.60	$332.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $200.96 / $200.96 / $660.00	Professional		$200.96	$200.96	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.98 / $207.13 / $513.10	Professional		$165.98	$207.13	$513.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.20 / $498.95 / $498.95	Professional		$222.20	$498.95	$498.95
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 $151.76 / $198.81 / $576.57	Professional		$151.76	$198.81	$576.57