Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.75 / $1,793.00 / $4,100.00	Facility		$269.75	$1,793.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $202.31 / $202.31 / $218.14	Facility	54	$202.31	$202.31	$218.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $269.75 / $683.36	Professional		$215.47	$269.75	$683.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $311.19 / $660.00	Professional		$275.00	$311.19	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.82 / $374.77 / $763.64	Professional		$267.82	$374.77	$763.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.42 / $648.41 / $648.41	Professional		$602.42	$648.41	$648.41
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $549.00 / $5,940.00	Facility		$165.00	$549.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.76 / $374.77 / $785.05	Professional		$194.76	$374.77	$785.05