Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.58 / $3,670.00 / $4,047.00	Facility		$456.58	$3,670.00	$4,047.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.34 / $94.34 / $252.95	Facility	52	$94.34	$94.34	$252.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.56 / $344.98 / $505.90	Professional		$178.56	$344.98	$505.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.01 / $183.33 / $1,228.00	Professional		$181.01	$183.33	$1,228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.56 / $386.47 / $1,092.93	Professional		$166.56	$386.47	$1,092.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.85 / $455.48 / $971.35	Professional		$368.85	$455.48	$971.35
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 $172.10 / $376.31 / $1,128.94	Professional		$172.10	$376.31	$1,128.94