Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $218.78 / $575.44	Professional		$75.86	$218.78	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $407.38 / $691.83	Professional	50	$112.20	$407.38	$691.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $95.50	Professional		$70.79	$77.62	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $489.78	Professional		$79.43	$213.80	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $457.09	Professional		$239.88	$323.59	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $169.82 / $389.05	Professional		$72.44	$169.82	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $371.54 / $416.87	Professional		$177.83	$371.54	$416.87