Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,144.00 / $8,043.00	Facility		$1,017.00	$4,144.00	$8,043.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $172.32 / $172.32 / $172.32	Facility	53	$172.32	$172.32	$172.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $646.20 / $646.20 / $646.20	Facility	54	$646.20	$646.20	$646.20
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $129.24 / $129.24 / $129.24	Facility	55	$129.24	$129.24	$129.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.66 / $861.60 / $861.60	Professional		$609.66	$861.60	$861.60
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $121.68 / $129.24 / $129.24	Professional	55	$121.68	$129.24	$129.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $703.85 / $936.12 / $7,883.00	Professional		$703.85	$936.12	$7,883.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.40 / $806.11 / $1,788.10	Professional		$625.40	$806.11	$1,788.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.76 / $816.04 / $1,550.24	Professional		$704.76	$816.04	$1,550.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $10,819.00 / $28,056.00	Facility		$3,261.00	$10,819.00	$28,056.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.48 / $685.19 / $1,838.85	Professional		$593.48	$685.19	$1,838.85