Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.17 / $2,080.00 / $4,100.00	Facility		$332.17	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $237.47 / $237.47 / $249.13	Facility	54	$237.47	$237.47	$249.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $316.62 / $332.17	Professional		$252.78	$316.62	$332.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $308.43 / $344.10 / $1,410.00	Professional		$308.43	$344.10	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.45 / $389.63 / $881.76	Professional		$304.45	$389.63	$881.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.20 / $735.88 / $735.88	Professional		$701.20	$735.88	$735.88
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 $231.45 / $679.96 / $890.95	Professional		$231.45	$679.96	$890.95