Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.22 / $667.28 / $1,084.33	Facility		$141.22	$667.28	$1,084.33
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $157.94 / $157.94 / $157.94	Facility	50	$157.94	$157.94	$157.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $179.00 / $474.57	Professional		$69.31	$179.00	$474.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $71.69 / $93.20	Professional		$71.69	$71.69	$93.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $179.89 / $587.27	Professional		$70.20	$179.89	$587.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.39 / $381.13 / $552.75	Professional		$229.39	$381.13	$552.75
United Facility/Professional Professional Modifier Low / Median / High Price $165.80 / $269.81 / $641.84	Professional		$165.80	$269.81	$641.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $352.90 / $456.99	Professional		$57.95	$352.90	$456.99