Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $7,727.00 / $17,471.70	Facility		$1,614.00	$7,727.00	$17,471.70
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $178.66 / $178.66 / $178.66	Facility	53	$178.66	$178.66	$178.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.31 / $893.31 / $3,123.58	Professional		$893.31	$893.31	$3,123.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,290.20 / $1,290.20 / $32,237.71	Professional		$1,290.20	$1,290.20	$32,237.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,228.00 / $45,000.00 / $62,695.00	Facility		$9,228.00	$45,000.00	$62,695.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.37 / $1,409.45 / $4,491.20	Professional		$965.37	$1,409.45	$4,491.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,071.77 / $2,071.77 / $2,071.77	Professional		$2,071.77	$2,071.77	$2,071.77
United Facility/Professional Facility Modifier Low / Median / High Price $12,497.00 / $15,950.00 / $48,120.00	Facility		$12,497.00	$15,950.00	$48,120.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.83 / $1,384.76 / $2,793.25	Professional		$1,058.83	$1,384.76	$2,793.25