Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,670.00 / $4,100.00	Facility		$1,017.00	$3,670.00	$4,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.98 / $99.98 / $368.12	Facility	52	$99.98	$99.98	$368.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.31 / $342.80 / $736.23	Professional		$177.31	$342.80	$736.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $194.44 / $1,686.00	Professional		$191.26	$194.44	$1,686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.14 / $466.27 / $1,592.94	Professional		$175.14	$466.27	$1,592.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.75 / $650.91 / $1,400.35	Professional		$389.75	$650.91	$1,400.35
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 $169.29 / $577.26 / $1,702.30	Professional		$169.29	$577.26	$1,702.30