Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.02 / $2,080.00 / $4,100.00	Facility		$357.02	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $246.66 / $246.66 / $267.77	Facility	54	$246.66	$246.66	$267.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $328.88 / $795.88	Professional		$266.30	$328.88	$795.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.96 / $377.61 / $1,021.00	Professional		$346.96	$377.61	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $466.59 / $941.30	Professional		$324.00	$466.59	$941.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $731.02 / $794.75 / $794.75	Professional		$731.02	$794.75	$794.75
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 $250.46 / $629.36 / $962.22	Professional		$250.46	$629.36	$962.22