Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,947.89 / $3,644.23 / $4,931.47	Facility		$1,947.89	$3,644.23	$4,931.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.58 / $1,047.35 / $3,821.36	Professional		$776.58	$1,047.35	$3,821.36
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $535.25 / $684.45 / $704.38	Professional	54	$535.25	$684.45	$704.38
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $107.05 / $136.88 / $160.06	Professional	55	$107.05	$136.88	$160.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $789.07 / $802.33 / $1,109.56	Professional		$789.07	$802.33	$1,109.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $980.44 / $1,205.38	Facility		$926.00	$980.44	$1,205.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.11 / $909.59 / $1,412.10	Professional		$666.11	$909.59	$1,412.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.94 / $870.48 / $1,209.53	Professional		$756.94	$870.48	$1,209.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,009.00	Facility		$1,009.00	$1,009.00	$1,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.24 / $872.10 / $1,505.45	Professional		$680.24	$872.10	$1,505.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $677.60 / $795.89 / $870.48	Professional		$677.60	$795.89	$870.48