Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.90 / $2,464.00 / $4,975.00	Facility		$567.90	$2,464.00	$4,975.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $127.03 / $127.03 / $451.19	Facility	52	$127.03	$127.03	$451.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.17 / $629.45 / $902.37	Professional		$241.17	$629.45	$902.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.27 / $247.07 / $1,841.00	Professional		$243.27	$247.07	$1,841.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.46 / $620.25 / $1,924.09	Professional		$225.46	$620.25	$1,924.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.73 / $797.20 / $1,718.46	Professional		$495.73	$797.20	$1,718.46
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 $593.46 / $916.37 / $2,089.01	Professional		$593.46	$916.37	$2,089.01