Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.67 / $4,144.00 / $8,043.00	Facility		$1,074.67	$4,144.00	$8,043.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $806.00 / $806.00 / $806.00	Facility	54	$806.00	$806.00	$806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,014.25 / $1,074.67 / $1,074.67	Professional		$1,014.25	$1,074.67	$1,074.67
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $152.13 / $161.19 / $161.19	Professional	55	$152.13	$161.19	$161.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $879.00 / $1,169.07 / $7,883.00	Professional		$879.00	$1,169.07	$7,883.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.53 / $1,006.20 / $2,230.60	Professional		$783.53	$1,006.20	$2,230.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.55 / $1,016.11 / $1,933.87	Professional		$877.55	$1,016.11	$1,933.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00
United Facility/Professional Professional Modifier Low / Median / High Price $751.17 / $1,086.93 / $2,293.90	Professional		$751.17	$1,086.93	$2,293.90