Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.91 / $1,539.86 / $3,175.00	Facility		$274.91	$1,539.86	$3,175.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.69 / $19.69 / $54.98	Facility	53	$19.69	$19.69	$54.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $238.18 / $432.60	Professional		$94.12	$238.18	$432.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $108.95 / $1,410.00	Professional		$108.21	$108.95	$1,410.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.66 / $243.27 / $711.47	Professional		$100.66	$243.27	$711.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.01 / $609.14 / $609.14	Professional		$222.01	$609.14	$609.14
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 $213.94 / $313.81 / $720.99	Professional		$213.94	$313.81	$720.99