Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $2,080.00 / $4,100.00	Facility		$260.88	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $170.67 / $170.67 / $195.66	Facility	54	$170.67	$170.67	$195.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.56 / $231.21 / $260.88	Professional		$227.56	$231.21	$260.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $262.11 / $660.00	Professional		$245.79	$262.11	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.84 / $344.18 / $690.33	Professional		$224.84	$344.18	$690.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.42 / $580.82 / $580.82	Professional		$507.42	$580.82	$580.82
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 $183.53 / $466.13 / $703.22	Professional		$183.53	$466.13	$703.22