Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $912.01 / $3,467.37	Facility		$144.54	$912.01	$3,467.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $776.25 / $912.01 / $5,248.07	Facility	50	$776.25	$912.01	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $269.15 / $776.25	Professional		$102.33	$269.15	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $147.91	Professional		$109.65	$123.03	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $275.42 / $758.58	Professional		$117.49	$275.42	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $616.60	Professional		$288.40	$380.19	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $275.42 / $831.76	Professional		$102.33	$275.42	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $512.86	Professional		$288.40	$426.58	$512.86