Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.75 / $761.70 / $2,227.27	Facility		$284.75	$761.70	$2,227.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.98 / $607.60 / $1,397.83	Professional		$262.98	$607.60	$1,397.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $280.27 / $286.30 / $399.39	Professional		$280.27	$286.30	$399.39
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 $347.70 / $347.70 / $347.70	Facility	52	$347.70	$347.70	$347.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $86.93 / $86.93 / $86.93	Facility	53	$86.93	$86.93	$86.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $565.41 / $1,202.69	Professional		$263.20	$565.41	$1,202.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.41 / $799.01 / $1,269.08	Professional		$503.41	$799.01	$1,269.08
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 $569.82 / $783.40 / $1,416.00	Professional		$569.82	$783.40	$1,416.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $576.22 / $771.89 / $953.28	Professional		$576.22	$771.89	$953.28