Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.54 / $1,614.00 / $7,727.00	Facility		$311.54	$1,614.00	$7,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $233.66 / $233.66 / $253.93	Facility	54	$233.66	$233.66	$253.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $311.54 / $789.24	Professional		$248.53	$311.54	$789.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $358.02 / $660.00	Professional		$275.00	$358.02	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.89 / $433.08 / $890.52	Professional		$306.89	$433.08	$890.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $693.09 / $753.58 / $753.58	Professional		$693.09	$753.58	$753.58
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 $232.69 / $644.10 / $887.40	Professional		$232.69	$644.10	$887.40