Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.49 / $2,080.00 / $4,100.00	Facility		$339.49	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $233.51 / $233.51 / $254.62	Facility	54	$233.51	$233.51	$254.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.35 / $339.49 / $788.76	Professional		$311.35	$339.49	$788.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $327.82 / $357.83 / $1,021.00	Professional		$327.82	$357.83	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.85 / $429.47 / $897.05	Professional		$301.85	$429.47	$897.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $692.72 / $754.82 / $754.82	Professional		$692.72	$754.82	$754.82
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 $228.15 / $404.94 / $913.89	Professional		$228.15	$404.94	$913.89