Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $4,100.00 / $7,007.00	Facility		$1,614.00	$4,100.00	$7,007.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $704.38 / $704.38 / $704.38	Facility	54	$704.38	$704.38	$704.38
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $140.88 / $140.88 / $140.88	Facility	55	$140.88	$140.88	$140.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.12 / $939.17 / $939.17	Professional		$885.12	$939.17	$939.17
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $663.84 / $704.38 / $704.38	Professional	54	$663.84	$704.38	$704.38
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $132.77 / $140.88 / $140.88	Professional	55	$132.77	$140.88	$140.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $789.07 / $1,149.74 / $7,846.00	Professional		$789.07	$1,149.74	$7,846.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.33 / $1,164.34 / $1,947.43	Professional		$705.33	$1,164.34	$1,947.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.03 / $886.99 / $1,688.36	Professional		$766.03	$886.99	$1,688.36
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 $697.68 / $877.37 / $2,002.68	Professional		$697.68	$877.37	$2,002.68