Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.82 / $2,080.00 / $4,100.00	Facility		$417.82	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $309.76 / $309.76 / $313.37	Facility	54	$309.76	$309.76	$313.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.01 / $413.01 / $417.82	Professional		$413.01	$413.01	$417.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $425.08 / $449.34 / $1,410.00	Professional		$425.08	$449.34	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.61 / $576.24 / $1,108.30	Professional		$401.61	$576.24	$1,108.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $915.67 / $925.37 / $925.37	Professional		$915.67	$925.37	$925.37
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 $295.29 / $513.58 / $1,120.36	Professional		$295.29	$513.58	$1,120.36