Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.13 / $4,100.00 / $6,945.00	Facility		$793.13	$4,100.00	$6,945.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $110.25 / $110.25 / $396.57	Facility	52	$110.25	$110.25	$396.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $220.50 / $793.13	Professional		$220.50	$220.50	$793.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $110.25 / $110.25 / $396.57	Professional	52	$110.25	$110.25	$396.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $192.95 / $262.37 / $4,930.00	Professional		$192.95	$262.37	$4,930.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.02 / $450.23 / $1,308.81	Professional		$178.02	$450.23	$1,308.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.19 / $1,376.38 / $1,376.38	Professional		$393.19	$1,376.38	$1,376.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.42 / $958.49 / $1,855.70	Professional		$613.42	$958.49	$1,855.70