Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.96 / $3,162.00 / $88,074.51	Facility		$155.96	$3,162.00	$88,074.51
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.50 / $51.50 / $141.22	Facility	52	$51.50	$51.50	$141.22
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.60 / $20.60 / $56.49	Facility	53	$20.60	$20.60	$56.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $122.68 / $325.70	Professional		$18.14	$122.68	$325.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $133.65 / $2,244.00	Professional		$90.52	$133.65	$2,244.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $210.64 / $503.73	Professional		$84.67	$210.64	$503.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.47 / $495.80 / $495.80	Professional		$184.47	$495.80	$495.80
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $316.47 / $668.45	Professional		$206.00	$316.47	$668.45