Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $1,805.84 / $4,100.00	Facility		$37.72	$1,805.84	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $63.85 / $138.18	Professional		$37.72	$63.85	$138.18
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.86 / $18.86 / $31.93	Professional	52	$18.86	$18.86	$31.93
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $7.54 / $7.54 / $12.77	Professional	53	$7.54	$7.54	$12.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $57.28 / $660.00	Professional		$49.09	$57.28	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $81.98 / $177.82	Professional		$44.23	$81.98	$177.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $172.31 / $172.31	Professional		$77.88	$172.31	$172.31
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 $64.89 / $189.99 / $199.99	Professional		$64.89	$189.99	$199.99