Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.58 / $838.58 / $918.22	Facility		$838.58	$838.58	$918.22
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $996.16 / $996.16 / $996.16	Facility	50	$996.16	$996.16	$996.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $189.97 / $498.77	Professional		$89.34	$189.97	$498.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $267.48 / $449.87 / $1,174.50	Professional	50	$267.48	$449.87	$1,174.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $102.98 / $124.61	Professional		$91.60	$102.98	$124.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.21 / $141.21 / $141.21	Facility		$141.21	$141.21	$141.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $191.16 / $368.92	Professional		$75.45	$191.16	$368.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $265.91 / $468.94	Professional		$154.60	$265.91	$468.94
United Facility/Professional Professional Modifier Low / Median / High Price $126.43 / $205.83 / $380.33	Professional		$126.43	$205.83	$380.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $139.63 / $291.44	Professional		$139.63	$139.63	$291.44