Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.88 / $919.83 / $5,479.62	Facility		$139.88	$919.83	$5,479.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $277.64 / $677.83	Professional		$97.31	$277.64	$677.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $112.43 / $193.38	Professional		$108.92	$112.43	$193.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $530.82 / $891.79	Facility		$376.00	$530.82	$891.79
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $143.59 / $143.59 / $143.59	Facility	52	$143.59	$143.59	$143.59
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.90 / $35.90 / $35.90	Facility	53	$35.90	$35.90	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $257.50 / $530.66	Professional		$107.88	$257.50	$530.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.16 / $353.69 / $541.70	Professional		$241.16	$353.69	$541.70
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 $267.72 / $358.94 / $611.33	Professional		$267.72	$358.94	$611.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $341.06 / $421.67	Professional		$266.58	$341.06	$421.67