Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.26 / $1,017.00 / $3,175.00	Facility		$76.26	$1,017.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $76.88 / $166.91	Professional		$31.77	$76.88	$166.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.89 / $15.89 / $43.05	Professional	52	$15.89	$15.89	$43.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $39.95 / $660.00	Professional		$34.18	$39.95	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $85.10 / $226.85	Professional		$39.52	$85.10	$226.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.61 / $179.89 / $179.89	Professional		$80.61	$179.89	$179.89
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $152.35 / $208.44	Professional		$72.61	$152.35	$208.44