Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.68 / $2,080.00 / $4,100.00	Facility		$361.68	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $239.60 / $239.60 / $271.26	Facility	54	$239.60	$239.60	$271.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.47 / $319.47 / $361.68	Professional		$319.47	$319.47	$361.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $335.70 / $368.73 / $1,410.00	Professional		$335.70	$368.73	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $456.08 / $956.91	Professional		$316.10	$456.08	$956.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $713.82 / $808.20 / $808.20	Professional		$713.82	$808.20	$808.20
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 $238.13 / $432.06 / $978.51	Professional		$238.13	$432.06	$978.51