Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.19 / $647.57 / $679.06	Facility		$644.19	$647.57	$679.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.37 / $368.81 / $903.81	Professional		$247.37	$368.81	$903.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,036.97 / $1,038.72 / $1,038.72	Professional	50	$1,036.97	$1,038.72	$1,038.72
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $211.56 / $261.47 / $451.69	Professional	54	$211.56	$261.47	$451.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $329.33 / $365.92 / $501.31	Professional		$329.33	$365.92	$501.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $121.72	Facility		$50.00	$50.00	$121.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $410.56 / $796.23	Professional		$295.08	$410.56	$796.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.36 / $482.92 / $644.32	Professional		$374.36	$482.92	$644.32
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.77 / $331.81 / $650.29	Professional		$240.77	$331.81	$650.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $430.51 / $529.25	Professional		$262.20	$430.51	$529.25