Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.75 / $2,036.00 / $4,100.00	Facility		$655.75	$2,036.00	$4,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $146.68 / $146.68 / $407.90	Facility	52	$146.68	$146.68	$407.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $58.67 / $58.67 / $163.16	Facility	53	$58.67	$58.67	$163.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.36 / $607.60 / $815.79	Professional		$293.36	$607.60	$815.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $280.27 / $286.30 / $1,686.00	Professional		$280.27	$286.30	$1,686.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $653.75 / $1,756.87	Professional		$263.20	$653.75	$1,756.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.13 / $726.45 / $1,558.35	Professional		$571.13	$726.45	$1,558.35
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 $561.57 / $819.12 / $1,894.37	Professional		$561.57	$819.12	$1,894.37