Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.69 / $1,793.00 / $4,100.00	Facility		$123.69	$1,793.00	$4,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $162.18 / $162.18 / $180.70	Facility	52	$162.18	$162.18	$180.70
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $243.27 / $243.27 / $271.04	Facility	54	$243.27	$243.27	$271.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.36 / $361.39 / $821.73	Professional		$324.36	$361.39	$821.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $374.36 / $1,021.00	Professional		$330.25	$374.36	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.30 / $437.18 / $938.68	Professional		$323.30	$437.18	$938.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.72 / $807.00 / $807.00	Professional		$724.72	$807.00	$807.00
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 $216.17 / $422.15 / $977.06	Professional		$216.17	$422.15	$977.06