Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.73 / $2,080.00 / $4,100.00	Facility		$345.73	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.75 / $248.75 / $259.30	Facility	54	$248.75	$248.75	$259.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.66 / $345.73 / $345.73	Professional		$331.66	$345.73	$345.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $355.49 / $380.08 / $1,021.00	Professional		$355.49	$380.08	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.48 / $436.56 / $912.27	Professional		$327.48	$436.56	$912.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $735.80 / $763.22 / $763.22	Professional		$735.80	$763.22	$763.22
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 $236.76 / $419.69 / $924.05	Professional		$236.76	$419.69	$924.05