Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.42 / $2,986.00 / $4,975.00	Facility		$689.42	$2,986.00	$4,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.64 / $335.64 / $550.26	Professional		$335.64	$335.64	$550.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $167.82 / $167.82 / $275.13	Professional	52	$167.82	$167.82	$275.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $279.23 / $371.38 / $3,944.00	Professional		$279.23	$371.38	$3,944.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.72 / $532.28 / $1,152.14	Professional		$273.72	$532.28	$1,152.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $598.00 / $966.61 / $966.61	Professional		$598.00	$966.61	$966.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $8,777.00 / $26,408.00	Facility		$2,648.00	$8,777.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.79 / $756.00 / $1,477.02	Professional		$424.79	$756.00	$1,477.02