Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.78 / $1,556.00 / $3,175.00	Facility		$562.78	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $398.76 / $398.76 / $422.09	Facility	54	$398.76	$398.76	$422.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.67 / $562.78 / $1,361.92	Professional		$531.67	$562.78	$1,361.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $571.89 / $608.38 / $1,410.00	Professional		$571.89	$608.38	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.72 / $772.42 / $1,494.73	Professional		$524.72	$772.42	$1,494.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,177.77 / $1,247.94 / $1,247.94	Professional		$1,177.77	$1,247.94	$1,247.94
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 $401.13 / $698.92 / $1,510.91	Professional		$401.13	$698.92	$1,510.91