Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.52 / $1,556.00 / $3,175.00	Facility		$319.52	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $212.71 / $212.71 / $239.64	Facility	54	$212.71	$212.71	$239.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.90 / $283.61 / $718.47	Professional		$220.90	$283.61	$718.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $326.89 / $660.00	Professional		$275.00	$326.89	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.83 / $384.03 / $841.16	Professional		$280.83	$384.03	$841.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.84 / $711.89 / $711.89	Professional		$632.84	$711.89	$711.89
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 $205.89 / $377.83 / $861.91	Professional		$205.89	$377.83	$861.91