Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.85 / $180.11 / $2,989.52	Facility		$39.85	$180.11	$2,989.52
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,624.65 / $3,624.65 / $3,624.65	Facility	50	$3,624.65	$3,624.65	$3,624.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.11 / $316.82 / $880.78	Professional		$180.11	$316.82	$880.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $435.00 / $721.27 / $1,890.48	Professional	50	$435.00	$721.27	$1,890.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.85 / $177.66 / $246.65	Professional		$176.85	$177.66	$246.65
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 $174.41 / $292.83 / $555.16	Professional		$174.41	$292.83	$555.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $355.54 / $574.73	Professional		$267.32	$355.54	$574.73
United Facility/Professional Professional Modifier Low / Median / High Price $222.80 / $335.67 / $693.02	Professional		$222.80	$335.67	$693.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $238.27 / $307.42 / $379.71	Professional		$238.27	$307.42	$379.71