Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $2,080.00 / $4,100.00	Facility		$154.03	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $101.36 / $101.36 / $115.52	Facility	54	$101.36	$101.36	$115.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $135.15 / $327.06	Professional		$113.84	$135.15	$327.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.76 / $155.58 / $660.00	Professional		$147.76	$155.58	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $194.79 / $404.97	Professional		$133.13	$194.79	$404.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.19 / $343.93 / $343.93	Professional		$301.19	$343.93	$343.93
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 $109.70 / $292.50 / $413.78	Professional		$109.70	$292.50	$413.78