Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.62 / $1,614.00 / $7,727.00	Facility		$206.62	$1,614.00	$7,727.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $154.97 / $154.97 / $156.36	Facility	54	$154.97	$154.97	$156.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $206.62 / $504.52	Professional		$163.06	$206.62	$504.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $216.83 / $241.19 / $660.00	Professional		$216.83	$241.19	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.92 / $260.81 / $543.97	Professional		$201.92	$260.81	$543.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.28 / $461.28 / $466.91	Professional		$461.28	$461.28	$466.91
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 $136.31 / $249.24 / $558.49	Professional		$136.31	$249.24	$558.49