Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.19 / $3,575.00 / $4,601.00	Facility		$385.19	$3,575.00	$4,601.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.83 / $31.83 / $106.84	Facility	53	$31.83	$31.83	$106.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $412.38 / $1,292.81	Professional		$159.16	$412.38	$1,292.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.51 / $217.42 / $2,116.00	Professional		$199.51	$217.42	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.37 / $524.90 / $1,475.77	Professional		$164.37	$524.90	$1,475.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.42 / $1,167.14 / $1,167.14	Professional		$519.42	$1,167.14	$1,167.14
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.29 / $1,084.76 / $1,537.02	Professional		$588.29	$1,084.76	$1,537.02