Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.77 / $3,670.00 / $4,100.00	Facility		$840.77	$3,670.00	$4,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $188.07 / $188.07 / $188.07	Facility	52	$188.07	$188.07	$188.07
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $75.23 / $75.23 / $75.23	Facility	53	$75.23	$75.23	$75.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.93 / $376.14 / $498.98	Professional		$350.93	$376.14	$498.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.81 / $331.81 / $547.49	Professional		$331.81	$331.81	$547.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.80 / $432.56 / $1,120.84	Professional		$312.80	$432.56	$1,120.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.38 / $680.43 / $733.28	Professional		$333.38	$680.43	$733.28
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 $273.25 / $371.03 / $891.39	Professional		$273.25	$371.03	$891.39