Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.26 / $4,100.00 / $6,945.00	Facility		$1,075.26	$4,100.00	$6,945.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $806.45 / $806.45 / $806.45	Facility	54	$806.45	$806.45	$806.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $1,075.26 / $1,075.26	Professional		$656.25	$1,075.26	$1,075.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $810.93 / $1,078.54 / $6,000.00	Professional		$810.93	$1,078.54	$6,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.84 / $896.64 / $2,212.76	Professional		$690.84	$896.64	$2,212.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $860.98 / $996.92 / $1,918.40	Professional		$860.98	$996.92	$1,918.40
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 $569.70 / $749.12 / $2,247.36	Professional		$569.70	$749.12	$2,247.36