Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.69 / $917.51 / $3,305.74	Facility		$103.69	$917.51	$3,305.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $172.74 / $576.79	Professional		$73.08	$172.74	$576.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $106.16 / $303.10 / $307.56	Professional	50	$106.16	$303.10	$307.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $94.42 / $107.92	Professional		$94.42	$94.42	$107.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.40 / $1,267.40 / $1,267.40	Facility		$1,267.40	$1,267.40	$1,267.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $180.25 / $364.01	Professional		$76.04	$180.25	$364.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $234.31 / $410.87	Professional		$128.54	$234.31	$410.87
United Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $211.71 / $347.87	Professional		$153.97	$211.71	$347.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.29 / $207.74 / $257.27	Professional		$149.29	$207.74	$257.27