Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $371.54 / $2,570.40	Facility		$151.36	$371.54	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $199.53 / $549.54	Professional		$67.61	$199.53	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $489.78 / $1,148.15	Professional	50	$147.91	$489.78	$1,148.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $69.18 / $95.50	Professional		$61.66	$69.18	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $114.82	Facility		$75.86	$75.86	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $186.21 / $426.58	Professional		$69.18	$186.21	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $275.42 / $371.54	Professional		$85.11	$275.42	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $302.00 / $478.63	Facility		$50.12	$302.00	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $173.78 / $380.19	Professional		$64.57	$173.78	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $269.15 / $389.05	Professional		$63.10	$269.15	$389.05