Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.31 / $3,098.88 / $7,868.16	Facility		$365.31	$3,098.88	$7,868.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.39 / $472.50 / $979.05	Professional		$324.39	$472.50	$979.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.81 / $331.81 / $593.94	Professional		$331.81	$331.81	$593.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $1,474.16 / $2,476.59	Facility		$582.00	$1,474.16	$2,476.59
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.29 / $416.47 / $888.95	Professional		$291.29	$416.47	$888.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.83 / $402.83 / $680.43	Professional		$315.83	$402.83	$680.43
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 $287.77 / $380.71 / $665.43	Professional		$287.77	$380.71	$665.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $386.04 / $480.45	Professional		$269.95	$386.04	$480.45