Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.74 / $4,144.00 / $8,043.00	Facility		$1,138.74	$4,144.00	$8,043.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $854.06 / $854.06 / $854.06	Facility	54	$854.06	$854.06	$854.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.64 / $1,138.74 / $1,138.74	Professional		$782.64	$1,138.74	$1,138.74
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $160.88 / $170.81 / $170.81	Professional	55	$160.88	$170.81	$170.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $956.02 / $1,320.00 / $9,152.00	Professional		$956.02	$1,320.00	$9,152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.76 / $1,147.94 / $2,359.46	Professional		$828.76	$1,147.94	$2,359.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $927.18 / $1,073.58 / $2,045.59	Professional		$927.18	$1,073.58	$2,045.59
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 $686.68 / $844.44 / $2,426.42	Professional		$686.68	$844.44	$2,426.42