Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.45 / $990.36 / $3,784.00	Facility		$178.45	$990.36	$3,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $454.34 / $2,332.80	Professional		$150.97	$454.34	$2,332.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.45 / $169.90 / $263.35	Professional		$167.45	$169.90	$263.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $909.33 / $1,530.89	Facility		$508.00	$909.33	$1,530.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $206.22 / $206.22 / $206.22	Facility	52	$206.22	$206.22	$206.22
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.55 / $51.55 / $51.55	Facility	53	$51.55	$51.55	$51.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $335.00 / $1,972.82	Professional		$154.29	$335.00	$1,972.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.73 / $1,263.02 / $2,101.28	Professional		$584.73	$1,263.02	$2,101.28
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $471.00 / $1,330.00	Facility		$418.00	$471.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $1,081.82 / $1,926.90	Professional		$162.19	$1,081.82	$1,926.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $817.67 / $1,225.82 / $1,509.21	Professional		$817.67	$1,225.82	$1,509.21