Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.81 / $337.95 / $2,730.82	Facility		$57.81	$337.95	$2,730.82
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $233.64 / $3,543.75 / $5,155.59	Facility	50	$233.64	$3,543.75	$5,155.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.30 / $310.54 / $850.55	Professional		$172.30	$310.54	$850.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $465.81 / $717.69 / $1,416.57	Professional	50	$465.81	$717.69	$1,416.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.24 / $169.79 / $217.33	Professional		$147.24	$169.79	$217.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.31 / $835.31 / $835.31	Facility		$835.31	$835.31	$835.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.59 / $289.00 / $544.60	Professional		$167.59	$289.00	$544.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.60 / $366.55 / $588.69	Professional		$275.60	$366.55	$588.69
United Facility/Professional Professional Modifier Low / Median / High Price $241.74 / $340.54 / $520.33	Professional		$241.74	$340.54	$520.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $232.12 / $316.94 / $391.08	Professional		$232.12	$316.94	$391.08