Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $676.08	Facility		$645.65	$645.65	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $933.25	Professional		$281.84	$467.74	$933.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,047.13 / $1,047.13 / $1,380.38	Professional	50	$1,047.13	$1,047.13	$1,380.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $281.84 / $407.38 / $616.60	Professional	54	$281.84	$407.38	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $707.95	Professional		$363.08	$407.38	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $123.03	Facility		$50.12	$50.12	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $794.33	Professional		$275.42	$398.11	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $707.95	Professional		$407.38	$467.74	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $309.03	Facility		$36.31	$40.74	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $660.69	Professional		$229.09	$354.81	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $588.84	Professional		$263.03	$478.63	$588.84