Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.18 / $1,117.00 / $3,175.00	Facility		$97.18	$1,117.00	$3,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $20.86 / $20.86 / $141.71	Facility	52	$20.86	$20.86	$141.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $222.55 / $283.41	Professional		$38.36	$222.55	$283.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $39.77 / $573.00	Professional		$38.53	$39.77	$573.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $209.14 / $552.91	Professional		$37.94	$209.14	$552.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $249.93 / $538.16	Professional		$82.45	$249.93	$538.16
United Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $223.85 / $1,509.00	Facility		$35.25	$223.85	$1,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.22 / $291.11 / $654.20	Professional		$186.22	$291.11	$654.20