Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.47 / $1,556.00 / $3,175.00	Facility		$389.47	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $273.39 / $273.39 / $297.56	Facility	54	$273.39	$273.39	$297.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.53 / $396.74 / $882.16	Professional		$364.53	$396.74	$882.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.25 / $419.96 / $1,021.00	Professional		$380.25	$419.96	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.32 / $506.61 / $1,045.54	Professional		$359.32	$506.61	$1,045.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $813.00 / $885.59 / $885.59	Professional		$813.00	$885.59	$885.59
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 $274.18 / $793.43 / $1,039.49	Professional		$274.18	$793.43	$1,039.49