Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.97 / $1,120.38 / $4,100.00	Facility		$462.97	$1,120.38	$4,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $78.73 / $231.49 / $2,039.79	Facility	52	$78.73	$231.49	$2,039.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.50 / $31.50 / $92.59	Facility	53	$31.50	$31.50	$92.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $333.15 / $462.97	Professional		$77.20	$333.15	$462.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.32 / $166.67 / $1,228.00	Professional		$151.32	$166.67	$1,228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $351.24 / $619.38	Professional		$141.53	$351.24	$619.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.36 / $415.01 / $887.48	Professional		$308.36	$415.01	$887.48
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 $272.88 / $376.94 / $1,039.98	Professional		$272.88	$376.94	$1,039.98