Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.97 / $1,654.15 / $3,175.00	Facility		$192.97	$1,654.15	$3,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.41 / $41.41 / $178.00	Facility	52	$41.41	$41.41	$178.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.55 / $16.55 / $71.20	Facility	53	$16.55	$16.55	$71.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $152.38 / $355.99	Professional		$71.84	$152.38	$355.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $79.41 / $1,030.00	Professional		$75.89	$79.41	$1,030.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $197.10 / $759.76	Professional		$73.12	$197.10	$759.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.76 / $319.16 / $681.36	Professional		$162.76	$319.16	$681.36
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 $164.21 / $270.58 / $811.73	Professional		$164.21	$270.58	$811.73