Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.78 / $753.78 / $753.78	Facility		$753.78	$753.78	$753.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.97 / $207.55 / $520.85	Professional		$163.97	$207.55	$520.85
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $127.65 / $155.32 / $270.85	Professional	54	$127.65	$155.32	$270.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $195.71 / $217.46 / $297.92	Professional		$195.71	$217.46	$297.92
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 $176.32 / $260.31 / $473.66	Professional		$176.32	$260.31	$473.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.79 / $384.56	Professional		$223.87	$288.79	$384.56
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 $155.19 / $214.24 / $386.00	Professional		$155.19	$214.24	$386.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.95 / $257.45 / $316.39	Professional		$170.95	$257.45	$316.39