Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.24 / $283.92 / $4,100.00	Facility		$49.24	$283.92	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $212.94 / $212.94 / $235.16	Facility	54	$212.94	$212.94	$235.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.92 / $313.55 / $719.27	Professional		$283.92	$313.55	$719.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $328.34 / $660.00	Professional		$275.00	$328.34	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.27 / $394.71 / $819.30	Professional		$277.27	$394.71	$819.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $635.63 / $702.56 / $702.56	Professional		$635.63	$702.56	$702.56
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 $227.15 / $394.71 / $810.50	Professional		$227.15	$394.71	$810.50