Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.27 / $1,614.00 / $3,175.00	Facility		$238.27	$1,614.00	$3,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $49.23 / $49.23 / $67.70	Facility	52	$49.23	$49.23	$67.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $117.64 / $204.59	Professional		$86.67	$117.64	$204.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.58 / $109.72 / $660.00	Professional		$100.58	$109.72	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.12 / $131.97 / $270.69	Professional		$88.12	$131.97	$270.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $303.69 / $303.69	Professional		$135.19	$303.69	$303.69
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 $94.45 / $130.16 / $350.93	Professional		$94.45	$130.16	$350.93