Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.83 / $1,170.81 / $1,716.77	Facility		$382.83	$1,170.81	$1,716.77
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,611.12 / $1,611.12 / $1,611.12	Facility	50	$1,611.12	$1,611.12	$1,611.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $248.05 / $644.54	Professional		$49.79	$248.05	$644.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $372.08	Professional	50	$372.08	$372.08	$372.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $55.02 / $65.00	Professional		$50.76	$55.02	$65.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $52.89 / $52.89	Facility		$52.89	$52.89	$52.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $185.28 / $528.39	Professional		$48.69	$185.28	$528.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $315.23 / $534.08	Professional		$80.12	$315.23	$534.08
United Facility/Professional Professional Modifier Low / Median / High Price $274.70 / $384.59 / $600.36	Professional		$274.70	$384.59	$600.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $251.17 / $355.40	Professional		$49.71	$251.17	$355.40