Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,951.21	Facility		$1,698.24	$1,698.24	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $660.69 / $1,819.70	Professional		$194.98	$660.69	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $323.59	Professional		$181.97	$204.17	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $812.83 / $1,148.15	Facility		$380.19	$812.83	$1,148.15
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	52	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	53	$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $1,513.56	Professional		$204.17	$446.68	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $912.01 / $1,288.25	Professional		$501.19	$912.01	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $645.65 / $1,621.81	Professional		$199.53	$645.65	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,023.29 / $1,230.27	Professional		$169.82	$1,023.29	$1,230.27