Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $323.50 / $427.68	Facility		$232.12	$323.50	$427.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $77.78 / $231.28	Professional		$38.71	$77.78	$231.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $18.86 / $31.86 / $121.36	Professional	52	$18.86	$31.86	$121.36
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $7.54 / $12.74 / $48.55	Professional	53	$7.54	$12.74	$48.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $57.28 / $65.47	Professional		$49.09	$57.28	$65.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.59 / $40.59 / $40.59	Facility		$40.59	$40.59	$40.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $83.53 / $160.72	Professional		$45.55	$83.53	$160.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $102.48 / $165.84	Professional		$77.20	$102.48	$165.84
United Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $86.04 / $171.11	Professional		$60.98	$86.04	$171.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $88.79 / $109.44	Professional		$75.84	$88.79	$109.44