Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.69 / $2,080.00 / $4,100.00	Facility		$227.69	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $153.83 / $153.83 / $170.77	Facility	54	$153.83	$153.83	$170.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.10 / $227.69 / $519.58	Professional		$205.10	$227.69	$519.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $226.94 / $237.67 / $660.00	Professional		$226.94	$237.67	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.17 / $314.67 / $604.51	Professional		$205.17	$314.67	$604.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.10 / $510.11 / $510.11	Professional		$460.10	$510.11	$510.11
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 $162.87 / $295.33 / $617.60	Professional		$162.87	$295.33	$617.60