Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.22 / $1,927.00 / $4,047.00	Facility		$549.22	$1,927.00	$4,047.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $125.26 / $125.26 / $794.63	Facility	52	$125.26	$125.26	$794.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $606.25 / $1,589.25	Professional		$250.52	$606.25	$1,589.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $279.83 / $1,021.00	Professional		$279.83	$279.83	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.84 / $548.40 / $3,111.78	Professional		$220.84	$548.40	$3,111.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,289.21 / $2,950.87 / $2,950.87	Professional		$1,289.21	$2,950.87	$2,950.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.30 / $2,060.96 / $3,515.86	Professional		$984.30	$2,060.96	$3,515.86