Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.54 / $2,888.56 / $6,296.11	Facility		$261.54	$2,888.56	$6,296.11
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $165.09 / $165.09 / $982.19	Facility	52	$165.09	$165.09	$982.19
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $66.03 / $66.03 / $392.88	Facility	53	$66.03	$66.03	$392.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $601.00 / $2,205.46	Professional		$195.10	$601.00	$2,205.46
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.18 / $232.15 / $288.79	Professional	53	$38.18	$232.15	$288.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $254.63 / $266.63 / $363.48	Professional		$254.63	$266.63	$363.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.51 / $1,765.51 / $1,765.51	Facility		$1,765.51	$1,765.51	$1,765.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.65 / $509.41 / $2,443.71	Professional		$231.65	$509.41	$2,443.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,103.99 / $1,675.46 / $3,150.66	Professional		$1,103.99	$1,675.46	$3,150.66
United Facility/Professional Professional Modifier Low / Median / High Price $293.02 / $1,348.40 / $2,640.99	Professional		$293.02	$1,348.40	$2,640.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,183.09 / $1,493.63 / $1,837.44	Professional		$1,183.09	$1,493.63	$1,837.44