Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.56 / $1,368.56 / $1,368.56	Facility		$1,368.56	$1,368.56	$1,368.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $84.39 / $299.47	Professional		$48.23	$84.39	$299.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.71 / $229.81 / $625.09	Professional	50	$109.71	$229.81	$625.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $62.27 / $79.08	Professional		$59.75	$62.27	$79.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.94 / $507.00 / $641.21	Facility		$47.94	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $91.14 / $175.36	Professional		$51.95	$91.14	$175.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $120.28 / $166.27	Professional		$92.84	$120.28	$166.27
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $97.84 / $173.80	Professional		$69.40	$97.84	$173.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $107.23 / $132.63	Professional		$84.75	$107.23	$132.63