Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.02 / $759.20 / $3,581.72	Facility		$168.02	$759.20	$3,581.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $825.95 / $825.95 / $825.95	Facility	50	$825.95	$825.95	$825.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $180.92 / $559.00	Professional		$68.87	$180.92	$559.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $74.81 / $93.79	Professional		$74.81	$74.81	$93.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.88 / $746.88 / $746.88	Facility		$746.88	$746.88	$746.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $150.18 / $317.13	Professional		$80.87	$150.18	$317.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $220.23 / $283.66	Professional		$133.34	$220.23	$283.66
United Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $167.92 / $307.33	Professional		$112.19	$167.92	$307.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.56 / $204.46 / $253.23	Professional		$100.56	$204.46	$253.23