Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.49 / $1,556.00 / $3,175.00	Facility		$486.49	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $183.79 / $183.79 / $187.96	Facility	54	$183.79	$183.79	$187.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $245.05 / $606.47	Professional		$197.47	$245.05	$606.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $288.33 / $1,021.00	Professional		$256.92	$288.33	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $309.92 / $654.69	Professional		$238.41	$309.92	$654.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $545.29 / $545.29 / $558.20	Professional		$545.29	$545.29	$558.20
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 $163.29 / $295.39 / $660.20	Professional		$163.29	$295.39	$660.20