Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.14 / $2,021.31 / $4,100.00	Facility		$1,062.14	$2,021.31	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $796.61 / $796.61 / $796.61	Facility	54	$796.61	$796.61	$796.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.28 / $1,062.14 / $1,062.14	Professional		$636.28	$1,062.14	$1,062.14
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $148.72 / $159.32 / $159.32	Professional	55	$148.72	$159.32	$159.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $798.30 / $1,021.00 / $5,359.00	Professional		$798.30	$1,021.00	$5,359.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.18 / $933.79 / $2,187.78	Professional		$669.18	$933.79	$2,187.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $852.62 / $987.24 / $1,896.75	Professional		$852.62	$987.24	$1,896.75
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 $545.97 / $739.74 / $2,219.23	Professional		$545.97	$739.74	$2,219.23