Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $785.93 / $3,175.00	Facility		$197.02	$785.93	$3,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $42.28 / $42.28 / $137.05	Facility	52	$42.28	$42.28	$137.05
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.91 / $16.91 / $54.82	Facility	53	$16.91	$16.91	$54.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $274.10 / $452.89	Professional		$84.56	$274.10	$452.89
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $42.28 / $42.28 / $137.05	Professional	52	$42.28	$42.28	$137.05
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $16.91 / $16.91 / $54.82	Professional	53	$16.91	$16.91	$54.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $96.09 / $1,410.00	Professional		$87.19	$96.09	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $228.79 / $722.19	Professional		$82.00	$228.79	$722.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.91 / $565.62 / $565.62	Professional		$234.91	$565.62	$565.62
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $1,334.94 / $6,342.00	Facility		$665.00	$1,334.94	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.79 / $318.52 / $655.36	Professional		$203.79	$318.52	$655.36