Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.34 / $170.34 / $516.96	Facility		$170.34	$170.34	$516.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $122.43 / $318.92	Professional		$60.25	$122.43	$318.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $207.42 / $207.42 / $207.42	Professional	50	$207.42	$207.42	$207.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $69.23 / $84.76	Professional		$65.17	$69.23	$84.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $451.23	Facility		$330.00	$339.05	$451.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $129.10 / $281.06	Professional		$64.81	$129.10	$281.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.54 / $213.55 / $271.01	Professional		$165.54	$213.55	$271.01
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.38 / $163.75 / $276.83	Professional		$110.38	$163.75	$276.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $190.37 / $235.61	Professional		$125.87	$190.37	$235.61