Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.90 / $1,556.00 / $3,175.00	Facility		$379.90	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $263.54 / $263.54 / $284.93	Facility	54	$263.54	$263.54	$284.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $351.39 / $388.18	Professional		$288.17	$351.39	$388.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $372.56 / $404.33 / $1,021.00	Professional		$372.56	$404.33	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.94 / $502.15 / $1,001.93	Professional		$345.94	$502.15	$1,001.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.75 / $845.64 / $845.64	Professional		$782.75	$845.64	$845.64
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 $299.45 / $757.65 / $1,023.85	Professional		$299.45	$757.65	$1,023.85