Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.53 / $1,793.00 / $94,000.00	Facility		$130.53	$1,793.00	$94,000.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.79 / $10.79 / $10.79	Facility	53	$10.79	$10.79	$10.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $53.94 / $110.80	Professional		$9.40	$53.94	$110.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $75.04 / $603.00	Professional		$49.37	$75.04	$603.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $57.81 / $108.03	Professional		$42.77	$57.81	$108.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $95.58 / $95.58	Professional		$95.58	$95.58	$95.58
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $62.87 / $128.86	Professional		$40.29	$62.87	$128.86