Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.52 / $1,481.22 / $3,979.26	Facility		$294.52	$1,481.22	$3,979.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $198.94 / $198.94 / $366.86	Facility	52	$198.94	$198.94	$366.86
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $79.58 / $79.58 / $146.74	Facility	53	$79.58	$79.58	$146.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.52 / $519.64 / $1,408.44	Professional		$260.52	$519.64	$1,408.44
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $50.17 / $86.12 / $145.69	Professional	53	$50.17	$86.12	$145.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $299.89 / $446.90	Professional		$275.52	$299.89	$446.90
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 $341.33 / $341.33 / $341.33	Facility	52	$341.33	$341.33	$341.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.33 / $85.33 / $85.33	Facility	53	$85.33	$85.33	$85.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.41 / $455.00 / $814.07	Professional		$258.41	$455.00	$814.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.22 / $548.45 / $804.89	Professional		$386.22	$548.45	$804.89
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $478.00 / $1,316.00	Facility		$418.00	$478.00	$1,316.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.24 / $542.77 / $912.92	Professional		$398.24	$542.77	$912.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $400.29 / $534.69 / $661.47	Professional		$400.29	$534.69	$661.47