Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.01 / $414.45 / $592.74	Facility		$74.01	$414.45	$592.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $118.06 / $420.59	Professional		$62.64	$118.06	$420.59
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $25.91 / $43.52 / $166.78	Professional	52	$25.91	$43.52	$166.78
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $10.36 / $17.41 / $66.70	Professional	53	$10.36	$17.41	$66.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $80.51 / $107.17	Professional		$72.87	$80.51	$107.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.57 / $54.57 / $54.57	Facility		$54.57	$54.57	$54.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $116.89 / $229.98	Professional		$63.08	$116.89	$229.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $138.56 / $233.81	Professional		$104.18	$138.56	$233.81
United Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $122.72 / $197.14	Professional		$87.26	$122.72	$197.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $119.81 / $147.72	Professional		$104.18	$119.81	$147.72