Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.41 / $241.02 / $1,514.11	Facility		$56.41	$241.02	$1,514.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.98 / $2,496.62 / $8,367.29	Facility	50	$0.98	$2,496.62	$8,367.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.82 / $366.47 / $1,120.72	Professional		$192.82	$366.47	$1,120.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $193.26 / $885.31 / $3,220.92	Professional	50	$193.26	$885.31	$3,220.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.78 / $189.20 / $929.17	Professional		$187.78	$189.20	$929.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.45 / $1,470.45 / $1,470.45	Facility		$1,470.45	$1,470.45	$1,470.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.86 / $392.37 / $772.32	Professional		$185.86	$392.37	$772.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.64 / $409.17 / $682.03	Professional		$307.64	$409.17	$682.03
United Facility/Professional Professional Modifier Low / Median / High Price $270.62 / $381.57 / $659.06	Professional		$270.62	$381.57	$659.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $307.64 / $353.80 / $436.74	Professional		$307.64	$353.80	$436.74