Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.92 / $2,709.28 / $5,940.63	Facility		$807.92	$2,709.28	$5,940.63
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $7,009.73 / $7,009.73 / $7,009.73	Facility	53	$7,009.73	$7,009.73	$7,009.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.94 / $1,088.05 / $4,945.03	Professional		$337.94	$1,088.05	$4,945.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $361.55 / $379.98 / $440.49	Professional		$361.55	$379.98	$440.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.27 / $1,675.27 / $1,675.27	Facility		$1,675.27	$1,675.27	$1,675.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.87 / $847.87 / $2,055.17	Professional		$331.87	$847.87	$2,055.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.56 / $1,246.24 / $2,263.57	Professional		$724.56	$1,246.24	$2,263.57
United Facility/Professional Facility Modifier Low / Median / High Price $6,295.00 / $6,295.00 / $6,295.00	Facility		$6,295.00	$6,295.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $961.80 / $1,322.48 / $2,173.07	Professional		$961.80	$1,322.48	$2,173.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $937.61 / $937.61 / $1,368.38	Professional		$937.61	$937.61	$1,368.38