Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.33 / $3,575.00 / $4,100.00	Facility		$950.33	$3,575.00	$4,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.94 / $97.94 / $191.15	Facility	52	$97.94	$97.94	$191.15
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $39.17 / $76.45 / $191.15	Facility	53	$39.17	$76.45	$191.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.07 / $334.76 / $474.00	Professional		$185.07	$334.76	$474.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $39.17 / $85.64 / $191.15	Professional	53	$39.17	$85.64	$191.15
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 $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.57 / $376.39 / $792.20	Professional		$357.57	$376.39	$792.20
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $357.57 / $376.39 / $792.20	Professional	53	$357.57	$376.39	$792.20
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 $306.29 / $516.22 / $950.76	Professional		$306.29	$516.22	$950.76