Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.64 / $2,080.00 / $4,100.00	Facility		$321.64	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $219.86 / $219.86 / $241.24	Facility	54	$219.86	$219.86	$241.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $293.14 / $321.64	Professional		$236.65	$293.14	$321.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $307.42 / $336.83 / $1,021.00	Professional		$307.42	$336.83	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.98 / $419.09 / $847.85	Professional		$288.98	$419.09	$847.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $652.07 / $715.79 / $715.79	Professional		$652.07	$715.79	$715.79
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 $217.70 / $419.09 / $866.63	Professional		$217.70	$419.09	$866.63