Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.00 / $2,080.00 / $4,337.00	Facility		$356.00	$2,080.00	$4,337.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.40 / $76.40 / $155.34	Facility	52	$76.40	$76.40	$155.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $152.79 / $334.97	Professional		$1.13	$152.79	$334.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.39 / $180.28 / $2,116.00	Professional		$165.39	$180.28	$2,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.85 / $300.38 / $584.79	Professional		$137.85	$300.38	$584.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.13 / $591.78 / $591.78	Professional		$269.13	$591.78	$591.78
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $6,580.00 / $26,408.00	Facility		$808.00	$6,580.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.72 / $530.86 / $705.08	Professional		$239.72	$530.86	$705.08