Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,728.96 / $7,007.00 / $37,257.00	Facility		$1,728.96	$7,007.00	$37,257.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $386.75 / $386.75 / $386.75	Facility	52	$386.75	$386.75	$386.75
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $154.69 / $154.69 / $154.69	Facility	53	$154.69	$154.69	$154.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.96 / $773.49 / $1,728.96	Professional		$633.96	$773.49	$1,728.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $704.18 / $757.82 / $4,492.00	Professional		$704.18	$757.82	$4,492.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.63 / $841.30 / $1,902.40	Professional		$634.63	$841.30	$1,902.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.42 / $1,349.22 / $1,506.72	Professional		$689.42	$1,349.22	$1,506.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.50 / $810.92 / $1,831.60	Professional		$571.50	$810.92	$1,831.60