Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $338.84	Professional		$107.15	$173.78	$338.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	50	$263.03	$263.03	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $141.25	Professional		$91.20	$117.49	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $371.54	Professional		$112.20	$199.53	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $338.84	Professional		$173.78	$229.09	$338.84
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 $97.72 / $173.78 / $309.03	Professional		$97.72	$173.78	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $302.00	Professional		$147.91	$257.04	$302.00