Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.70 / $3,575.00 / $6,393.25	Facility		$1,005.70	$3,575.00	$6,393.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $83.12 / $83.12 / $499.12	Facility	53	$83.12	$83.12	$499.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.36 / $420.68 / $3,755.48	Professional		$383.36	$420.68	$3,755.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $453.13 / $476.38 / $3,307.00	Professional		$453.13	$476.38	$3,307.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $912.69 / $6,570.87	Professional		$383.95	$912.69	$6,570.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $935.08 / $5,442.09 / $5,442.09	Professional		$935.08	$5,442.09	$5,442.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $22,174.00	Facility		$4,062.00	$5,185.00	$22,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.81 / $3,017.13 / $6,441.38	Professional		$1,185.81	$3,017.13	$6,441.38