Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.15 / $956.39 / $3,283.87	Facility		$238.15	$956.39	$3,283.87
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $95.32 / $95.32 / $269.63	Facility	52	$95.32	$95.32	$269.63
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.13 / $38.13 / $107.85	Facility	53	$38.13	$38.13	$107.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $348.48 / $1,088.40	Professional		$80.56	$348.48	$1,088.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.32 / $152.91 / $243.13	Professional		$151.32	$152.91	$243.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.24 / $529.00 / $891.79	Facility		$450.24	$529.00	$891.79
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $185.70 / $185.70 / $185.70	Facility	52	$185.70	$185.70	$185.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.42 / $46.42 / $46.42	Facility	53	$46.42	$46.42	$46.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $331.08 / $613.04	Professional		$141.53	$331.08	$613.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.98 / $448.21 / $687.67	Professional		$286.98	$448.21	$687.67
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 $173.34 / $374.43 / $665.98	Professional		$173.34	$374.43	$665.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $273.95 / $440.04 / $543.16	Professional		$273.95	$440.04	$543.16