Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $1,465.15 / $3,175.00	Facility		$145.41	$1,465.15	$3,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $31.21 / $31.21 / $70.02	Facility	52	$31.21	$31.21	$70.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $140.03 / $168.00	Professional		$62.41	$140.03	$168.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $67.09 / $1,410.00	Professional		$65.90	$67.09	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $155.38 / $339.05	Professional		$69.91	$155.38	$339.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $342.49 / $342.49	Professional		$141.66	$342.49	$342.49
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $216.87 / $405.38	Professional		$124.39	$216.87	$405.38