Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.98 / $1,373.04 / $4,047.00	Facility		$677.98	$1,373.04	$4,047.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $113.99 / $338.99 / $686.52	Facility	52	$113.99	$338.99	$686.52
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $45.59 / $135.60 / $274.61	Facility	53	$45.59	$135.60	$274.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.97 / $427.14 / $530.33	Professional		$227.97	$427.14	$530.33
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $113.99 / $217.24 / $264.00	Professional	52	$113.99	$217.24	$264.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $45.08 / $85.43 / $105.60	Professional	53	$45.08	$85.43	$105.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $241.17 / $1,228.00	Professional		$218.00	$241.17	$1,228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.33 / $452.44 / $926.37	Professional		$205.33	$452.44	$926.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.25 / $478.39 / $1,014.48	Professional		$444.25	$478.39	$1,014.48
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 $373.20 / $577.62 / $1,231.78	Professional		$373.20	$577.62	$1,231.78