Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.77 / $1,793.00 / $3,175.00	Facility		$151.77	$1,793.00	$3,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $32.57 / $32.57 / $115.24	Facility	52	$32.57	$32.57	$115.24
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.03 / $13.03 / $46.09	Facility	53	$13.03	$13.03	$46.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $122.21 / $230.47	Professional		$56.86	$122.21	$230.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $63.86 / $1,030.00	Professional		$60.67	$63.86	$1,030.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $157.81 / $489.39	Professional		$58.94	$157.81	$489.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $210.99 / $442.99	Professional		$128.44	$210.99	$442.99
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $194.18 / $511.58	Professional		$109.49	$194.18	$511.58