Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $373.98 / $373.98 / $373.98	Facility	54	$373.98	$373.98	$373.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.64 / $498.64 / $498.64	Professional		$498.64	$498.64	$498.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $505.79 / $542.83 / $2,116.00	Professional		$505.79	$542.83	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.11 / $666.95 / $1,323.39	Professional		$480.11	$666.95	$1,323.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $533.45 / $1,106.18 / $1,106.18	Professional		$533.45	$1,106.18	$1,106.18
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 $351.61 / $608.92 / $1,339.28	Professional		$351.61	$608.92	$1,339.28