Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,344.18 / $7,008.00	Facility		$1,017.00	$4,344.18	$7,008.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $137.37 / $137.37 / $137.37	Facility	53	$137.37	$137.37	$137.37
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $515.13 / $515.13 / $515.13	Facility	54	$515.13	$515.13	$515.13
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $103.03 / $103.03 / $103.03	Facility	55	$103.03	$103.03	$103.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.40 / $686.84 / $723.41	Professional		$589.40	$686.84	$723.41
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $323.39 / $343.42 / $343.42	Professional	52	$323.39	$343.42	$343.42
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $485.09 / $515.13 / $515.13	Professional	54	$485.09	$515.13	$515.13
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $97.02 / $103.03 / $103.03	Professional	55	$97.02	$103.03	$103.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $576.60 / $836.35 / $7,846.00	Professional		$576.60	$836.35	$7,846.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.28 / $942.21 / $1,469.95	Professional		$569.28	$942.21	$1,469.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.92 / $648.34 / $1,233.75	Professional		$559.92	$648.34	$1,233.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $6,073.00 / $26,408.00	Facility		$1,832.00	$6,073.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.01 / $667.28 / $1,463.44	Professional		$509.01	$667.28	$1,463.44