Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.06 / $371.90 / $3,162.00	Facility		$163.06	$371.90	$3,162.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $93.52 / $166.24	Professional		$64.45	$93.52	$166.24
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.05 / $34.57 / $60.10	Professional	52	$30.05	$34.57	$60.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $78.93 / $660.00	Professional		$71.23	$78.93	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $103.03 / $232.77	Professional		$62.37	$103.03	$232.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $270.14 / $270.14	Professional		$117.69	$270.14	$270.14
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 $84.01 / $113.79 / $312.18	Professional		$84.01	$113.79	$312.18