Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.46 / $1,535.00 / $3,175.00	Facility		$538.46	$1,535.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $287.12 / $287.12 / $314.62	Facility	54	$287.12	$287.12	$314.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.83 / $419.49 / $977.41	Professional		$382.83	$419.49	$977.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.38 / $439.85 / $1,021.00	Professional		$402.38	$439.85	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.58 / $547.96 / $1,102.89	Professional		$376.58	$547.96	$1,102.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.50 / $932.95 / $932.95	Professional		$851.50	$932.95	$932.95
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 $295.26 / $835.87 / $1,129.55	Professional		$295.26	$835.87	$1,129.55