Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.99 / $3,575.00 / $4,100.00	Facility		$670.99	$3,575.00	$4,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $143.99 / $409.86 / $1,693.43	Facility	52	$143.99	$409.86	$1,693.43
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $57.60 / $163.95 / $273.20	Facility	53	$57.60	$163.95	$273.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.98 / $455.43 / $599.37	Professional		$287.98	$455.43	$599.37
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $55.92 / $89.42 / $109.29	Professional	53	$55.92	$89.42	$109.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $306.37 / $1,228.00	Professional		$275.52	$306.37	$1,228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.41 / $478.64 / $1,197.20	Professional		$258.41	$478.64	$1,197.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.66 / $561.45 / $1,054.26	Professional		$473.66	$561.45	$1,054.26
United Facility/Professional Facility Modifier Low / Median / High Price $424.79 / $2,680.00 / $26,408.00	Facility		$424.79	$2,680.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.59 / $556.52 / $1,398.49	Professional		$394.59	$556.52	$1,398.49