Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.45 / $1,556.00 / $3,175.00	Facility		$295.45	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $97.19 / $97.19 / $97.74	Facility	54	$97.19	$97.19	$97.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $129.58 / $313.58	Professional		$109.54	$129.58	$313.58
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $97.19 / $97.19 / $97.74	Professional	54	$97.19	$97.19	$97.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.74 / $150.60 / $660.00	Professional		$140.74	$150.60	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.16 / $219.63 / $352.91	Professional		$127.16	$219.63	$352.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.55 / $292.33 / $292.33	Professional		$291.55	$292.33	$292.33
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 $91.52 / $168.58 / $353.95	Professional		$91.52	$168.58	$353.95