Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.71 / $4,100.00 / $6,454.05	Facility		$850.71	$4,100.00	$6,454.05
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $82.83 / $82.83 / $264.12	Facility	53	$82.83	$82.83	$264.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.16 / $850.71 / $2,712.58	Professional		$414.16	$850.71	$2,712.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $361.55 / $396.80 / $5,359.00	Professional		$361.55	$396.80	$5,359.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.87 / $847.87 / $2,245.63	Professional		$331.87	$847.87	$2,245.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $736.77 / $2,263.57 / $2,263.57	Professional		$736.77	$2,263.57	$2,263.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,279.00 / $7,711.00 / $26,408.00	Facility		$3,279.00	$7,711.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,051.82 / $1,687.27 / $3,051.86	Professional		$1,051.82	$1,687.27	$3,051.86