Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,011.69 / $6,792.00 / $8,043.00	Facility		$2,011.69	$6,792.00	$8,043.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $995.63 / $995.63 / $3,396.09	Facility	54	$995.63	$995.63	$3,396.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,327.50 / $1,409.17 / $3,055.06	Professional		$1,327.50	$1,409.17	$3,055.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,416.15 / $1,543.60 / $13,025.00	Professional		$1,416.15	$1,543.60	$13,025.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.96 / $2,775.41 / $3,540.37	Professional		$1,301.96	$2,775.41	$3,540.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,410.42 / $2,925.32 / $2,925.32	Professional		$1,410.42	$2,925.32	$2,925.32
United Facility/Professional Facility Modifier Low / Median / High Price $7,840.00 / $10,006.00 / $47,612.00	Facility		$7,840.00	$10,006.00	$47,612.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,204.14 / $1,991.60 / $5,290.55	Professional		$1,204.14	$1,991.60	$5,290.55