Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.51 / $1,556.00 / $3,175.00	Facility		$647.51	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $237.77 / $237.77 / $253.87	Facility	54	$237.77	$237.77	$253.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.02 / $338.49 / $364.48	Professional		$317.02	$338.49	$364.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $330.46 / $364.52 / $1,021.00	Professional		$330.46	$364.52	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.51 / $570.49 / $894.60	Professional		$311.51	$570.49	$894.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $705.67 / $753.28 / $753.28	Professional		$705.67	$753.28	$753.28
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 $294.36 / $400.65 / $912.02	Professional		$294.36	$400.65	$912.02