Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,041.74 / $4,168.69	Facility		$575.44	$2,041.74	$4,168.69
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,000.00 / $1,698.24 / $1,698.24	Facility	52	$1,000.00	$1,698.24	$1,698.24
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $104.71 / $288.40 / $933.25	Facility	53	$104.71	$288.40	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $954.99	Professional		$181.97	$371.54	$954.99
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $83.18 / $151.36 / $288.40	Professional	53	$83.18	$151.36	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $1,659.59	Professional		$177.83	$234.42	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $363.08 / $891.25	Professional		$194.98	$363.08	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $794.33	Professional		$363.08	$426.58	$794.33
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $363.08 / $426.58 / $794.33	Professional	53	$363.08	$426.58	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,073.80 / $26,302.68	Facility		$812.83	$4,073.80	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $660.69	Professional		$173.78	$316.23	$660.69