Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.22 / $2,080.00 / $4,100.00	Facility		$335.22	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $232.81 / $232.81 / $251.42	Facility	54	$232.81	$232.81	$251.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.62 / $310.41 / $786.37	Professional		$251.62	$310.41	$786.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $356.43 / $660.00	Professional		$275.00	$356.43	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.23 / $443.70 / $881.10	Professional		$307.23	$443.70	$881.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.02 / $744.86 / $744.86	Professional		$690.02	$744.86	$744.86
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 $229.50 / $443.69 / $901.83	Professional		$229.50	$443.69	$901.83