Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,412.54 / $1,412.54	Facility		$776.25	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $234.42 / $524.81	Professional		$85.11	$234.42	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $151.36	Professional		$85.11	$95.50	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $478.63 / $676.08	Facility		$380.19	$478.63	$676.08
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	53	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $213.80 / $426.58	Professional		$89.13	$213.80	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $457.09	Professional		$181.97	$331.13	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $190.55 / $389.05	Professional		$85.11	$190.55	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $354.81 / $436.52	Professional		$104.71	$354.81	$436.52