Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.62 / $2,761.00 / $4,100.00	Facility		$613.62	$2,761.00	$4,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $67.20 / $67.20 / $306.81	Facility	52	$67.20	$67.20	$306.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.41 / $300.45 / $613.62	Professional		$134.41	$300.45	$613.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.03 / $126.03 / $1,030.00	Professional		$126.03	$126.03	$1,030.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $318.81 / $1,455.41	Professional		$120.62	$318.81	$1,455.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.02 / $539.75 / $1,165.34	Professional		$262.02	$539.75	$1,165.34
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 $141.22 / $520.28 / $1,416.62	Professional		$141.22	$520.28	$1,416.62