Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.87 / $1,793.00 / $4,100.00	Facility		$545.87	$1,793.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $364.97 / $364.97 / $409.40	Facility	54	$364.97	$364.97	$409.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.35 / $486.63 / $545.87	Professional		$413.35	$486.63	$545.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $526.15 / $558.15 / $1,410.00	Professional		$526.15	$558.15	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.97 / $742.19 / $1,444.78	Professional		$479.97	$742.19	$1,444.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,080.52 / $1,215.21 / $1,215.21	Professional		$1,080.52	$1,215.21	$1,215.21
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 $380.14 / $669.83 / $1,471.29	Professional		$380.14	$669.83	$1,471.29