Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.48 / $1,117.00 / $3,175.00	Facility		$539.48	$1,117.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $267.58 / $267.58 / $280.35	Facility	54	$267.58	$267.58	$280.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $356.77 / $903.81	Professional		$240.12	$356.77	$903.81
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $267.58 / $267.58 / $280.35	Professional	54	$267.58	$267.58	$280.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $365.92 / $410.55 / $701.11	Professional		$365.92	$410.55	$701.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.34 / $431.83 / $984.04	Professional		$351.34	$431.83	$984.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.79 / $831.90 / $831.90	Professional		$794.79	$831.90	$831.90
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 $226.61 / $447.40 / $1,007.21	Professional		$226.61	$447.40	$1,007.21