Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.45 / $2,080.00 / $4,100.00	Facility		$431.45	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $299.62 / $302.02 / $323.58	Facility	54	$299.62	$302.02	$323.58
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $59.92 / $59.92 / $64.72	Facility	55	$59.92	$59.92	$64.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.61 / $399.49 / $511.34	Professional		$286.61	$399.49	$511.34
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $279.82 / $301.48 / $323.58	Professional	54	$279.82	$301.48	$323.58
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $55.96 / $59.92 / $64.72	Professional	55	$55.96	$59.92	$64.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $333.33 / $443.33 / $2,058.00	Professional		$333.33	$443.33	$2,058.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.97 / $363.36 / $891.94	Professional		$280.97	$363.36	$891.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.89 / $402.82 / $773.28	Professional		$347.89	$402.82	$773.28
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 $247.63 / $314.81 / $917.24	Professional		$247.63	$314.81	$917.24