Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.13 / $1,017.00 / $3,175.00	Facility		$196.13	$1,017.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $111.50 / $173.50	Professional		$79.37	$111.50	$173.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.14 / $42.09 / $69.79	Professional	52	$37.14	$42.09	$69.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $95.15 / $660.00	Professional		$86.30	$95.15	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $120.37 / $283.38	Professional		$75.68	$120.37	$283.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $314.39 / $314.39	Professional		$138.06	$314.39	$314.39
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 $98.01 / $135.31 / $363.31	Professional		$98.01	$135.31	$363.31