Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.42 / $2,080.00 / $4,100.00	Facility		$367.42	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $250.30 / $250.30 / $275.57	Facility	54	$250.30	$250.30	$275.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.73 / $367.42 / $370.26	Professional		$333.73	$367.42	$370.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $353.31 / $383.93 / $1,021.00	Professional		$353.31	$383.93	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.65 / $481.14 / $971.41	Professional		$328.65	$481.14	$971.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $743.26 / $819.89 / $819.89	Professional		$743.26	$819.89	$819.89
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 $251.04 / $456.15 / $992.66	Professional		$251.04	$456.15	$992.66