Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.66 / $2,483.04 / $4,047.00	Facility		$290.66	$2,483.04	$4,047.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $60.06 / $60.06 / $180.28	Facility	52	$60.06	$60.06	$180.28
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.02 / $24.02 / $72.11	Facility	53	$24.02	$24.02	$72.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $290.26 / $360.55	Professional		$105.52	$290.26	$360.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $112.43 / $1,228.00	Professional		$108.92	$112.43	$1,228.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.28 / $275.57 / $695.37	Professional		$105.28	$275.57	$695.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.05 / $321.54 / $683.90	Professional		$233.05	$321.54	$683.90
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 $252.24 / $349.73 / $831.37	Professional		$252.24	$349.73	$831.37