Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.50 / $2,080.00 / $4,601.00	Facility		$330.50	$2,080.00	$4,601.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $247.88 / $247.88 / $280.37	Facility	54	$247.88	$247.88	$280.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $330.50 / $799.80	Professional		$276.31	$330.50	$799.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $380.05 / $1,410.00	Professional		$275.00	$380.05	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.66 / $509.35 / $985.30	Professional		$321.66	$509.35	$985.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $735.74 / $830.91 / $830.91	Professional		$735.74	$830.91	$830.91
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $549.00 / $5,940.00	Facility		$165.00	$549.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.88 / $452.84 / $1,006.00	Professional		$255.88	$452.84	$1,006.00