Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.02 / $1,614.00 / $7,727.00	Facility		$315.02	$1,614.00	$7,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $236.27 / $236.27 / $248.77	Facility	54	$236.27	$236.27	$248.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $315.02 / $798.06	Professional		$245.16	$315.02	$798.06
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $236.27 / $236.27 / $248.77	Professional	54	$236.27	$236.27	$248.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $363.11 / $660.00	Professional		$275.00	$363.11	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.42 / $386.35 / $873.07	Professional		$289.42	$386.35	$873.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.95 / $739.23 / $739.23	Professional		$702.95	$739.23	$739.23
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 $216.46 / $400.27 / $895.01	Professional		$216.46	$400.27	$895.01