Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $671.00 / $671.00	Facility		$0.99	$671.00	$671.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.84 / $315.02 / $789.66	Professional		$244.84	$315.02	$789.66
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $189.60 / $232.31 / $348.70	Professional	54	$189.60	$232.31	$348.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $326.63 / $363.11	Professional		$197.00	$326.63	$363.11
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 $260.91 / $366.41 / $712.58	Professional		$260.91	$366.41	$712.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.26 / $429.91 / $572.83	Professional		$333.26	$429.91	$572.83
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 $216.46 / $327.61 / $616.42	Professional		$216.46	$327.61	$616.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.99 / $383.25 / $471.20	Professional		$245.99	$383.25	$471.20