Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $411.47 / $2,073.48	Facility		$85.12	$411.47	$2,073.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $185.11 / $495.75	Professional		$69.51	$185.11	$495.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $79.41 / $115.14	Professional		$75.89	$79.41	$115.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $516.15 / $867.13	Facility		$376.00	$516.15	$867.13
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.57 / $97.57 / $97.57	Facility	52	$97.57	$97.57	$97.57
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.39 / $24.39 / $24.39	Facility	53	$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $198.70 / $491.65	Professional		$73.45	$198.70	$491.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.50 / $344.69 / $531.54	Professional		$191.50	$344.69	$531.54
United Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $322.00 / $1,008.00	Facility		$214.00	$322.00	$1,008.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.46 / $270.58 / $492.11	Professional		$165.46	$270.58	$492.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.60 / $336.16 / $414.03	Professional		$205.60	$336.16	$414.03