Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,174.90 / $1,174.90	Facility		$263.03	$1,174.90	$1,174.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	50	$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $257.04 / $1,023.29	Professional		$53.70	$257.04	$1,023.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $72.44	Professional		$50.12	$56.23	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $165.96 / $812.83	Professional		$54.95	$165.96	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $794.33	Professional		$371.54	$489.78	$794.33
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 $48.98 / $263.03 / $707.95	Professional		$48.98	$263.03	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $676.08	Professional		$316.23	$549.54	$676.08