Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.06 / $2,080.00 / $4,100.00	Facility		$265.06	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.41 / $192.41 / $198.80	Facility	54	$192.41	$192.41	$198.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $256.55 / $620.85	Professional		$210.00	$256.55	$620.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $271.45 / $305.94 / $1,021.00	Professional		$271.45	$305.94	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.95 / $329.76 / $697.77	Professional		$249.95	$329.76	$697.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.10 / $572.10 / $592.27	Professional		$572.10	$572.10	$592.27
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 $173.72 / $311.77 / $692.66	Professional		$173.72	$311.77	$692.66