Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.27 / $797.72 / $2,095.67	Facility		$96.27	$797.72	$2,095.67
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $84.58 / $607.21 / $713.45	Facility	52	$84.58	$607.21	$713.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.83 / $33.83 / $82.29	Facility	53	$33.83	$33.83	$82.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.17 / $294.61 / $662.00	Professional		$121.17	$294.61	$662.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $136.10 / $210.95	Professional		$134.09	$136.10	$210.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $514.04 / $891.79	Facility		$376.00	$514.04	$891.79
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.11 / $165.11 / $165.11	Facility	52	$165.11	$165.11	$165.11
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.28 / $41.28 / $41.28	Facility	53	$41.28	$41.28	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $267.29 / $476.85	Professional		$126.14	$267.29	$476.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.91 / $351.93 / $532.49	Professional		$221.91	$351.93	$532.49
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.31 / $329.81 / $528.46	Professional		$243.31	$329.81	$528.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $340.26 / $420.02	Professional		$229.40	$340.26	$420.02