Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.81 / $1,117.00 / $3,175.00	Facility		$161.81	$1,117.00	$3,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.91 / $25.91 / $43.63	Facility	52	$25.91	$25.91	$43.63
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.36 / $10.36 / $17.45	Facility	53	$10.36	$10.36	$17.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $87.25 / $211.14	Professional		$51.81	$87.25	$211.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.91 / $43.63 / $43.63	Professional	52	$25.91	$43.63	$43.63
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $10.36 / $17.45 / $17.45	Professional	53	$10.36	$17.45	$17.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $87.76 / $660.00	Professional		$72.87	$87.76	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $131.55 / $250.67	Professional		$82.72	$131.55	$250.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.09 / $235.43 / $235.43	Professional		$105.09	$235.43	$235.43
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 $93.01 / $174.97 / $273.25	Professional		$93.01	$174.97	$273.25