Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $363.08 / $2,187.76	Facility		$144.54	$363.08	$2,187.76
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $181.97 / $371.54 / $3,715.35	Facility	50	$181.97	$371.54	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $933.25	Professional		$165.96	$309.03	$933.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $1,122.02 / $1,819.70	Professional	50	$467.74	$1,122.02	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $794.33	Professional		$147.91	$165.96	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $524.81	Professional		$173.78	$295.12	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $467.74	Professional		$239.88	$323.59	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $467.74	Professional		$151.36	$269.15	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $363.08 / $416.87	Professional		$234.42	$363.08	$416.87