Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.03 / $1,614.00 / $7,727.00	Facility		$335.03	$1,614.00	$7,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $251.27 / $251.27 / $272.08	Facility	54	$251.27	$251.27	$272.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $335.03 / $848.72	Professional		$269.04	$335.03	$848.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $383.36 / $660.00	Professional		$275.00	$383.36	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.33 / $461.12 / $953.59	Professional		$329.33	$461.12	$953.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.14 / $803.45 / $803.45	Professional		$742.14	$803.45	$803.45
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 $247.17 / $714.88 / $972.75	Professional		$247.17	$714.88	$972.75