Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.31 / $2,095.67 / $3,326.24	Facility		$338.31	$2,095.67	$3,326.24
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.90 / $176.07 / $1,440.00	Facility	52	$69.90	$176.07	$1,440.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.96 / $27.96 / $70.43	Facility	53	$27.96	$27.96	$70.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $281.08 / $352.13	Professional		$130.41	$281.08	$352.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $145.69 / $1,030.00	Professional		$134.09	$145.69	$1,030.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $290.87 / $499.35	Professional		$126.14	$290.87	$499.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.26 / $319.94 / $676.54	Professional		$273.26	$319.94	$676.54
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 $235.70 / $334.45 / $947.30	Professional		$235.70	$334.45	$947.30