Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.16 / $3,999.00 / $5,765.04	Facility		$650.16	$3,999.00	$5,765.04
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $95.46 / $95.46 / $600.14	Facility	52	$95.46	$95.46	$600.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.18 / $38.18 / $240.05	Facility	53	$38.18	$38.18	$240.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.91 / $596.26 / $1,536.34	Professional		$190.91	$596.26	$1,536.34
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.18 / $38.18 / $240.05	Professional	53	$38.18	$38.18	$240.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $254.63 / $290.63 / $4,290.00	Professional		$254.63	$290.63	$4,290.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.22 / $424.69 / $1,207.16	Professional		$219.22	$424.69	$1,207.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,349.18 / $3,150.66 / $3,150.66	Professional		$1,349.18	$3,150.66	$3,150.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.73 / $1,376.67 / $3,871.07	Professional		$400.73	$1,376.67	$3,871.07