Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.50 / $3,818.00 / $7,007.00	Facility		$873.50	$3,818.00	$7,007.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $454.78 / $454.78 / $655.13	Facility	54	$454.78	$454.78	$655.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.75 / $606.37 / $873.50	Professional		$411.75	$606.37	$873.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $509.50 / $677.63 / $5,899.00	Professional		$509.50	$677.63	$5,899.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.65 / $625.15 / $1,795.99	Professional		$443.65	$625.15	$1,795.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $698.70 / $809.02 / $1,557.07	Professional		$698.70	$809.02	$1,557.07
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 $495.14 / $634.50 / $1,846.95	Professional		$495.14	$634.50	$1,846.95