Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.46 / $1,793.00 / $3,175.00	Facility		$235.46	$1,793.00	$3,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $50.53 / $50.53 / $163.19	Facility	52	$50.53	$50.53	$163.19
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.21 / $20.21 / $65.28	Facility	53	$20.21	$20.21	$65.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $224.25 / $326.39	Professional		$97.80	$224.25	$326.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.16 / $97.96 / $1,030.00	Professional		$97.16	$97.96	$1,030.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.87 / $239.69 / $692.97	Professional		$90.87	$239.69	$692.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.30 / $294.00 / $623.84	Professional		$279.30	$294.00	$623.84
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.97 / $299.01 / $720.43	Professional		$196.97	$299.01	$720.43