Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.02 / $1,614.00 / $4,047.00	Facility		$489.02	$1,614.00	$4,047.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $205.02 / $1,003.08 / $1,091.69	Facility	52	$205.02	$1,003.08	$1,091.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $82.01 / $244.51 / $494.09	Facility	53	$82.01	$244.51	$494.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.61 / $341.34 / $443.17	Professional		$203.61	$341.34	$443.17
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.98 / $101.86 / $204.81	Professional	53	$41.98	$101.86	$204.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $200.76 / $222.44 / $1,228.00	Professional		$200.76	$222.44	$1,228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.85 / $360.97 / $897.82	Professional		$188.85	$360.97	$897.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.21 / $409.10 / $791.41	Professional		$357.21	$409.10	$791.41
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $357.21 / $409.10 / $791.41	Professional	53	$357.21	$409.10	$791.41
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 $257.20 / $360.93 / $949.66	Professional		$257.20	$360.93	$949.66
United Facility/Professional Professional Modifier 53 Low / Median / High Price $165.30 / $165.30 / $165.30	Professional	53	$165.30	$165.30	$165.30