Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.67 / $781.68 / $3,123.46	Facility		$497.67	$781.68	$3,123.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.82 / $766.34 / $1,633.16	Professional		$523.82	$766.34	$1,633.16
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $431.80 / $574.76 / $669.62	Professional	54	$431.80	$574.76	$669.62
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $86.36 / $114.95 / $133.91	Professional	55	$86.36	$114.95	$133.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $538.48 / $642.66 / $674.80	Professional		$538.48	$642.66	$674.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.00 / $335.55 / $492.32	Facility		$314.00	$335.55	$492.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $667.81 / $1,237.08	Professional		$520.71	$667.81	$1,237.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.95 / $815.83 / $1,064.13	Professional		$673.95	$815.83	$1,064.13
United Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $445.00 / $445.00	Facility		$445.00	$445.00	$445.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.02 / $647.91 / $1,204.14	Professional		$508.02	$647.91	$1,204.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $743.44 / $815.83	Professional		$475.33	$743.44	$815.83