Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.98 / $1,556.00 / $3,175.00	Facility		$274.98	$1,556.00	$3,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $68.12 / $68.12 / $105.77	Facility	52	$68.12	$68.12	$105.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $211.53 / $368.51	Professional		$136.22	$211.53	$368.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $142.19 / $1,410.00	Professional		$130.44	$142.19	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.23 / $204.48 / $392.41	Professional		$123.23	$204.48	$392.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.72 / $400.58 / $400.58	Professional		$179.72	$400.58	$400.58
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 $163.30 / $407.34 / $477.28	Professional		$163.30	$407.34	$477.28