Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.54 / $2,080.00 / $4,100.00	Facility		$386.54	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $257.14 / $257.14 / $289.91	Facility	54	$257.14	$257.14	$289.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $342.85 / $386.54	Professional		$342.85	$342.85	$386.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $357.24 / $395.43 / $1,021.00	Professional		$357.24	$395.43	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.03 / $480.19 / $1,019.27	Professional		$338.03	$480.19	$1,019.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $765.51 / $863.10 / $863.10	Professional		$765.51	$863.10	$863.10
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 $291.80 / $753.67 / $1,044.99	Professional		$291.80	$753.67	$1,044.99