Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $960.27 / $2,983.63	Facility		$222.44	$960.27	$2,983.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.09 / $628.16 / $1,413.64	Professional		$200.09	$628.16	$1,413.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $217.95 / $337.82	Professional		$206.44	$217.95	$337.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $909.33 / $1,530.89	Facility		$376.00	$909.33	$1,530.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.67 / $504.50 / $1,670.00	Professional		$205.67	$504.50	$1,670.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.82 / $994.43 / $1,642.88	Professional		$632.82	$994.43	$1,642.88
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 $854.30 / $1,182.45 / $1,890.93	Professional		$854.30	$1,182.45	$1,890.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.63 / $953.52 / $1,176.54	Professional		$171.63	$953.52	$1,176.54