Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.94 / $2,080.00 / $4,100.00	Facility		$520.94	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $382.65 / $382.65 / $390.71	Facility	54	$382.65	$382.65	$390.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.20 / $510.20 / $520.94	Professional		$510.20	$510.20	$520.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $542.00 / $585.26 / $1,021.00	Professional		$542.00	$585.26	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.64 / $693.02 / $1,381.75	Professional		$499.64	$693.02	$1,381.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.01 / $1,155.58 / $1,155.58	Professional		$1,133.01	$1,155.58	$1,155.58
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 $381.52 / $1,052.81 / $1,399.11	Professional		$381.52	$1,052.81	$1,399.11