Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.13 / $1,846.76 / $4,047.00	Facility		$469.13	$1,846.76	$4,047.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.74 / $97.74 / $190.95	Facility	52	$97.74	$97.74	$190.95
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $76.38 / $234.56 / $461.61	Facility	53	$76.38	$234.56	$461.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.07 / $292.95 / $438.41	Professional		$185.07	$292.95	$438.41
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $39.09 / $76.38 / $190.75	Professional	53	$39.09	$76.38	$190.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,228.00 / $1,575.00 / $2,368.00	Professional		$1,228.00	$1,575.00	$2,368.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.21 / $376.01 / $791.41	Professional		$357.21	$376.01	$791.41
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $357.21 / $376.01 / $791.41	Professional	53	$357.21	$376.01	$791.41
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.41 / $413.75 / $962.06	Professional		$293.41	$413.75	$962.06