Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.08 / $724.70 / $3,366.40	Facility		$195.08	$724.70	$3,366.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.78 / $370.65 / $832.10	Professional		$174.78	$370.65	$832.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $192.35 / $195.87 / $323.19	Professional		$192.35	$195.87	$323.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.24 / $530.82 / $891.79	Facility		$450.24	$530.82	$891.79
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.29 / $237.29 / $237.29	Facility	52	$237.29	$237.29	$237.29
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.32 / $59.32 / $59.32	Facility	53	$59.32	$59.32	$59.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $340.91 / $691.50	Professional		$180.25	$340.91	$691.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.17 / $456.80 / $688.23	Professional		$294.17	$456.80	$688.23
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 $181.25 / $367.42 / $726.15	Professional		$181.25	$367.42	$726.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $278.99 / $451.06 / $557.09	Professional		$278.99	$451.06	$557.09