Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.42 / $931.98 / $945.00	Facility		$223.42	$931.98	$945.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $856.52 / $856.52 / $906.30	Facility	50	$856.52	$856.52	$906.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.36 / $312.30 / $849.10	Professional		$160.36	$312.30	$849.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $626.54 / $905.42 / $1,273.66	Professional	50	$626.54	$905.42	$1,273.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $164.96 / $167.20 / $191.11	Professional		$164.96	$167.20	$191.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.15 / $197.15 / $197.15	Facility		$197.15	$197.15	$197.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.01 / $295.86 / $566.49	Professional		$155.01	$295.86	$566.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.54 / $383.00 / $657.29	Professional		$296.54	$383.00	$657.29
United Facility/Professional Professional Modifier Low / Median / High Price $244.31 / $335.93 / $551.99	Professional		$244.31	$335.93	$551.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.75 / $341.02 / $420.77	Professional		$130.75	$341.02	$420.77