Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.55 / $1,556.00 / $3,175.00	Facility		$291.55	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $200.06 / $200.06 / $218.66	Facility	54	$200.06	$200.06	$218.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.75 / $291.55 / $679.31	Professional		$266.75	$291.55	$679.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $307.79 / $660.00	Professional		$275.00	$307.79	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.58 / $369.27 / $764.62	Professional		$264.58	$369.27	$764.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $595.85 / $651.50 / $651.50	Professional		$595.85	$651.50	$651.50
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 $223.51 / $582.44 / $788.79	Professional		$223.51	$582.44	$788.79