Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.88 / $2,036.00 / $4,100.00	Facility		$120.88	$2,036.00	$4,100.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,191.00 / $1,191.00 / $1,191.01	Facility	50	$1,191.00	$1,191.00	$1,191.01
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $193.60 / $206.50 / $251.07	Facility	54	$193.60	$206.50	$251.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.97 / $294.30 / $313.83	Professional		$243.97	$294.30	$313.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.91 / $82.91 / $1,023.27	Professional	50	$82.91	$82.91	$1,023.27
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $182.98 / $206.50 / $235.38	Professional	54	$182.98	$206.50	$235.38
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $36.60 / $38.72 / $47.08	Professional	55	$36.60	$38.72	$47.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $216.57 / $367.81 / $2,058.00	Professional		$216.57	$367.81	$2,058.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.39 / $386.16 / $782.73	Professional		$264.39	$386.16	$782.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.68 / $293.73 / $561.79	Professional		$253.68	$293.73	$561.79
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 $231.89 / $266.67 / $695.66	Professional		$231.89	$266.67	$695.66