Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.28 / $2,080.00 / $4,100.00	Facility		$461.28	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $310.97 / $310.97 / $345.96	Facility	54	$310.97	$310.97	$345.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.63 / $416.96 / $461.28	Professional		$414.63	$416.96	$461.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $451.14 / $475.21 / $1,410.00	Professional		$451.14	$475.21	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.83 / $635.09 / $1,217.09	Professional		$408.83	$635.09	$1,217.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $919.96 / $1,023.20 / $1,023.20	Professional		$919.96	$1,023.20	$1,023.20
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 $370.37 / $916.73 / $1,238.82	Professional		$370.37	$916.73	$1,238.82