Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.62 / $2,080.00 / $4,100.00	Facility		$221.62	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $155.66 / $155.66 / $166.22	Facility	54	$155.66	$155.66	$166.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.97 / $207.55 / $525.79	Professional		$163.97	$207.55	$525.79
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $155.66 / $155.66 / $166.22	Professional	54	$155.66	$155.66	$166.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.46 / $240.12 / $660.00	Professional		$217.46	$240.12	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.77 / $278.80 / $579.67	Professional		$205.77	$278.80	$579.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.86 / $495.51 / $495.51	Professional		$464.86	$495.51	$495.51
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 $165.55 / $386.00 / $599.92	Professional		$165.55	$386.00	$599.92