Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.62 / $2,233.50 / $4,100.00	Facility		$330.62	$2,233.50	$4,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.41 / $75.41 / $151.13	Facility	52	$75.41	$75.41	$151.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $302.26 / $364.96	Professional		$150.81	$302.26	$364.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $178.72 / $1,410.00	Professional		$163.96	$178.72	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $297.98 / $564.54	Professional		$137.77	$297.98	$564.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.75 / $579.69 / $579.69	Professional		$264.75	$579.69	$579.69
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.76 / $520.20 / $699.72	Professional		$230.76	$520.20	$699.72