Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.66 / $3,417.00 / $4,100.00	Facility		$507.66	$3,417.00	$4,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $113.56 / $113.56 / $386.73	Facility	52	$113.56	$113.56	$386.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $299.30 / $773.46	Professional		$214.22	$299.30	$773.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.24 / $221.66 / $1,686.00	Professional		$217.24	$221.66	$1,686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.32 / $499.35 / $1,702.52	Professional		$201.32	$499.35	$1,702.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $442.68 / $683.94 / $1,473.44	Professional		$442.68	$683.94	$1,473.44
United Facility/Professional Facility Modifier Low / Median / High Price $641.82 / $2,680.00 / $26,408.00	Facility		$641.82	$2,680.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.09 / $641.82 / $1,791.15	Professional		$243.09	$641.82	$1,791.15