Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.47 / $2,080.00 / $4,100.00	Facility		$362.47	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $249.92 / $249.92 / $271.85	Facility	54	$249.92	$249.92	$271.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $333.22 / $362.47	Professional		$276.68	$333.22	$362.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $358.13 / $385.17 / $1,021.00	Professional		$358.13	$385.17	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.71 / $484.06 / $958.71	Professional		$330.71	$484.06	$958.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $745.66 / $810.99 / $810.99	Professional		$745.66	$810.99	$810.99
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 $251.88 / $454.55 / $981.89	Professional		$251.88	$454.55	$981.89