Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,905.46 / $4,570.88	Facility		$380.19	$1,905.46	$4,570.88
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $97.72 / $234.42 / $457.09	Facility	53	$97.72	$234.42	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $338.84 / $851.14	Professional		$173.78	$338.84	$851.14
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $64.57 / $125.89 / $199.53	Professional	53	$64.57	$125.89	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $4,897.79	Professional		$1,230.27	$1,659.59	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $398.11	Professional		$251.19	$302.00	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $660.69	Professional		$363.08	$426.58	$660.69
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $363.08 / $426.58 / $660.69	Professional	53	$363.08	$426.58	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,737.80 / $5,248.07	Facility		$660.69	$1,737.80	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $660.69	Professional		$173.78	$316.23	$660.69