Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.62 / $3,575.00 / $4,601.00	Facility		$362.62	$3,575.00	$4,601.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $243.92 / $243.92 / $271.97	Facility	54	$243.92	$243.92	$271.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $325.22 / $362.62	Professional		$266.07	$325.22	$362.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $344.59 / $373.09 / $1,845.00	Professional		$344.59	$373.09	$1,845.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.92 / $468.28 / $959.51	Professional		$319.92	$468.28	$959.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.26 / $805.34 / $805.34	Professional		$722.26	$805.34	$805.34
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 $234.75 / $435.05 / $975.04	Professional		$234.75	$435.05	$975.04