Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.85 / $2,464.00 / $4,975.00	Facility		$857.85	$2,464.00	$4,975.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $411.92 / $411.92 / $437.48	Facility	54	$411.92	$411.92	$437.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.33 / $567.14 / $1,354.22	Professional		$533.33	$567.14	$1,354.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $553.42 / $597.11 / $2,368.00	Professional		$553.42	$597.11	$2,368.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.88 / $822.01 / $1,542.25	Professional		$540.88	$822.01	$1,542.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,216.79 / $1,293.41 / $1,293.41	Professional		$1,216.79	$1,293.41	$1,293.41
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.85 / $731.43 / $1,565.97	Professional		$473.85	$731.43	$1,565.97