Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.61 / $3,417.00 / $4,615.38	Facility		$512.61	$3,417.00	$4,615.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,004.00 / $4,004.00 / $4,004.00	Facility	50	$4,004.00	$4,004.00	$4,004.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $106.79 / $106.79 / $526.15	Facility	52	$106.79	$106.79	$526.15
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.72 / $42.72 / $210.46	Facility	53	$42.72	$42.72	$210.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.58 / $1,052.29 / $2,451.83	Professional		$213.58	$1,052.29	$2,451.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $231.09 / $1,021.00	Professional		$217.64	$231.09	$1,021.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.63 / $674.85 / $2,772.50	Professional		$226.63	$674.85	$2,772.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $938.77 / $2,118.71 / $2,118.71	Professional		$938.77	$2,118.71	$2,118.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $858.91 / $1,938.71 / $2,454.88	Professional		$858.91	$1,938.71	$2,454.88