Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $1,556.00 / $3,175.00	Facility		$312.81	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $211.28 / $211.28 / $234.61	Facility	54	$211.28	$211.28	$234.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.28 / $281.70 / $681.73	Professional		$221.28	$281.70	$681.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $325.20 / $660.00	Professional		$275.00	$325.20	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.38 / $376.89 / $823.90	Professional		$279.38	$376.89	$823.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.54 / $698.11 / $698.11	Professional		$629.54	$698.11	$698.11
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 $204.68 / $367.54 / $845.22	Professional		$204.68	$367.54	$845.22