Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.60 / $2,080.00 / $4,100.00	Facility		$268.60	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $186.45 / $186.45 / $201.45	Facility	54	$186.45	$186.45	$201.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $248.60 / $601.61	Professional		$209.50	$248.60	$601.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $286.68 / $1,021.00	Professional		$267.70	$286.68	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.42 / $365.18 / $709.17	Professional		$244.42	$365.18	$709.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.99 / $599.36 / $599.36	Professional		$554.99	$599.36	$599.36
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $549.00 / $5,940.00	Facility		$165.00	$549.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.62 / $536.99 / $725.67	Professional		$196.62	$536.99	$725.67