Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.65 / $1,556.00 / $3,175.00	Facility		$342.65	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.50 / $234.50 / $256.99	Facility	54	$234.50	$234.50	$256.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $312.66 / $792.07	Professional		$259.72	$312.66	$792.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $336.37 / $359.02 / $1,021.00	Professional		$336.37	$359.02	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $459.93 / $907.29	Professional		$306.45	$459.93	$907.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.02 / $761.96 / $761.96	Professional		$695.02	$761.96	$761.96
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 $238.21 / $430.48 / $922.52	Professional		$238.21	$430.48	$922.52