Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.63 / $822.26 / $2,214.55	Facility		$143.63	$822.26	$2,214.55
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $776.61 / $912.11 / $1,030.33	Facility	50	$776.61	$912.11	$1,030.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $298.77 / $764.58	Professional		$106.31	$298.77	$764.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $124.85 / $174.17	Professional		$121.85	$124.85	$174.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.42 / $350.42 / $350.42	Facility		$350.42	$350.42	$350.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.28 / $273.55 / $753.73	Professional		$114.28	$273.55	$753.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.76 / $413.11 / $733.03	Professional		$317.76	$413.11	$733.03
United Facility/Professional Professional Modifier Low / Median / High Price $276.42 / $523.15 / $973.02	Professional		$276.42	$523.15	$973.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $287.22 / $365.42 / $452.15	Professional		$287.22	$365.42	$452.15