Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.81 / $581.79 / $1,173.06	Facility		$89.81	$581.79	$1,173.06
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.09 / $92.09 / $92.09	Facility	52	$92.09	$92.09	$92.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $168.63 / $357.25	Professional		$76.53	$168.63	$357.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.69 / $86.59 / $142.87	Professional		$82.69	$86.59	$142.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $124.64 / $124.64	Facility		$124.64	$124.64	$124.64
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.32 / $157.69 / $348.03	Professional		$83.32	$157.69	$348.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $194.40 / $353.46	Professional		$141.38	$194.40	$353.46
United Facility/Professional Professional Modifier Low / Median / High Price $158.28 / $214.60 / $371.78	Professional		$158.28	$214.60	$371.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.63 / $210.64 / $234.05	Professional		$171.63	$210.64	$234.05