Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.75 / $220.15 / $267.77	Facility		$206.75	$220.15	$267.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.40 / $221.02 / $546.72	Professional		$178.40	$221.02	$546.72
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $141.08 / $165.77 / $288.43	Professional	54	$141.08	$165.77	$288.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $224.79 / $255.99	Professional		$219.00	$224.79	$255.99
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 $196.09 / $281.55 / $534.66	Professional		$196.09	$281.55	$534.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.75 / $304.12 / $405.58	Professional		$235.75	$304.12	$405.58
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 $169.44 / $244.59 / $466.68	Professional		$169.44	$244.59	$466.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.41 / $271.11 / $334.73	Professional		$193.41	$271.11	$334.73