Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.24 / $635.42 / $3,175.00	Facility		$49.24	$635.42	$3,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $7.50 / $7.50 / $7.50	Facility	52	$7.50	$7.50	$7.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $177.88	Professional		$15.00	$15.00	$177.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.50 / $7.50 / $7.50	Professional	52	$7.50	$7.50	$7.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $31.90 / $660.00	Professional		$28.83	$31.90	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $70.70 / $182.85	Professional		$31.67	$70.70	$182.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $146.15 / $146.15	Professional		$65.65	$146.15	$146.15
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 $58.95 / $156.47 / $169.34	Professional		$58.95	$156.47	$169.34