Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.71 / $1,063.58 / $4,078.88	Facility		$233.71	$1,063.58	$4,078.88
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $178.67 / $178.67 / $399.90	Facility	52	$178.67	$178.67	$399.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $71.47 / $71.47 / $159.96	Facility	53	$71.47	$71.47	$159.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.11 / $470.11 / $1,838.70	Professional		$208.11	$470.11	$1,838.70
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $99.14 / $202.69 / $424.00	Professional	52	$99.14	$202.69	$424.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $39.54 / $82.53 / $131.36	Professional	53	$39.54	$82.53	$131.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $238.96 / $418.18	Professional		$218.00	$238.96	$418.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $667.46 / $1,121.33	Facility		$508.00	$667.46	$1,121.33
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.62 / $413.59 / $814.16	Professional		$207.62	$413.59	$814.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.90 / $526.23 / $784.81	Professional		$332.90	$526.23	$784.81
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 $378.86 / $503.29 / $837.19	Professional		$378.86	$503.29	$837.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $356.70 / $510.44 / $630.29	Professional		$356.70	$510.44	$630.29