Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.17 / $375.51 / $2,226.42	Facility		$104.17	$375.51	$2,226.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $263.36 / $839.00	Professional		$84.56	$263.36	$839.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $40.79 / $118.93 / $211.48	Professional	52	$40.79	$118.93	$211.48
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $16.32 / $47.57 / $84.59	Professional	53	$16.32	$47.57	$84.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $88.16 / $141.65	Professional		$87.19	$88.16	$141.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.15 / $333.15 / $333.15	Facility		$333.15	$333.15	$333.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $222.35 / $529.23	Professional		$84.77	$222.35	$529.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.26 / $294.45 / $550.73	Professional		$228.26	$294.45	$550.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,334.94 / $1,334.94 / $1,334.94	Facility		$1,334.94	$1,334.94	$1,334.94
United Facility/Professional Professional Modifier Low / Median / High Price $187.41 / $260.62 / $423.42	Professional		$187.41	$260.62	$423.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $262.50 / $324.20	Professional		$143.85	$262.50	$324.20