Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.87 / $2,080.00 / $4,100.00	Facility		$297.87	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $213.68 / $213.68 / $223.40	Facility	54	$213.68	$213.68	$223.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.18 / $284.91 / $297.87	Professional		$231.18	$284.91	$297.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $297.42 / $327.10 / $660.00	Professional		$297.42	$327.10	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.49 / $379.14 / $783.55	Professional		$280.49	$379.14	$783.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.23 / $662.27 / $662.27	Professional		$633.23	$662.27	$662.27
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 $201.84 / $365.38 / $801.83	Professional		$201.84	$365.38	$801.83