Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.09 / $1,556.00 / $3,175.00	Facility		$366.09	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $259.58 / $259.58 / $274.57	Facility	54	$259.58	$259.58	$274.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $346.10 / $876.77	Professional		$273.88	$346.10	$876.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $286.63 / $398.22 / $660.00	Professional		$286.63	$398.22	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.72 / $471.46 / $965.97	Professional		$337.72	$471.46	$965.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $770.92 / $814.48 / $814.48	Professional		$770.92	$814.48	$814.48
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 $244.16 / $444.07 / $986.12	Professional		$244.16	$444.07	$986.12