Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.48 / $2,080.00 / $4,100.00	Facility		$262.48	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $194.36 / $194.36 / $196.86	Facility	54	$194.36	$194.36	$196.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $259.14 / $627.14	Professional		$200.78	$259.14	$627.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $262.35 / $298.02 / $1,021.00	Professional		$262.35	$298.02	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.30 / $316.85 / $688.83	Professional		$250.30	$316.85	$688.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $576.94 / $581.78 / $581.78	Professional		$576.94	$581.78	$581.78
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 $191.05 / $495.86 / $704.38	Professional		$191.05	$495.86	$704.38