Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.07 / $1,878.00 / $4,047.00	Facility		$467.07	$1,878.00	$4,047.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $100.52 / $100.52 / $233.54	Facility	52	$100.52	$100.52	$233.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $40.21 / $40.21 / $93.41	Facility	53	$40.21	$40.21	$93.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.15 / $342.30 / $467.07	Professional		$189.15	$342.30	$467.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $192.35 / $195.87 / $1,228.00	Professional		$192.35	$195.87	$1,228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $390.43 / $1,013.66	Professional		$178.00	$390.43	$1,013.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.97 / $422.96 / $897.66	Professional		$391.97	$422.96	$897.66
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 $172.68 / $357.78 / $1,091.22	Professional		$172.68	$357.78	$1,091.22