Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.32 / $1,708.50 / $4,047.00	Facility		$539.32	$1,708.50	$4,047.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $113.78 / $113.78 / $269.66	Facility	52	$113.78	$113.78	$269.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $45.51 / $45.51 / $107.86	Facility	53	$45.51	$45.51	$107.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.55 / $436.04 / $539.32	Professional		$227.55	$436.04	$539.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.60 / $221.26 / $1,228.00	Professional		$217.60	$221.26	$1,228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.33 / $452.17 / $1,151.76	Professional		$205.33	$452.17	$1,151.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $443.43 / $488.03 / $1,036.25	Professional		$443.43	$488.03	$1,036.25
United Facility/Professional Facility Modifier Low / Median / High Price $407.42 / $2,416.00 / $26,408.00	Facility		$407.42	$2,416.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.34 / $646.41 / $1,222.27	Professional		$369.34	$646.41	$1,222.27