Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $2,511.89	Facility		$295.12	$295.12	$2,511.89
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	50	$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $346.74	Professional		$57.54	$112.20	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $416.87 / $2,454.71	Professional	50	$75.86	$416.87	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $81.28	Professional		$56.23	$63.10	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $354.81	Facility		$331.13	$338.84	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $223.87	Professional		$60.26	$114.82	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $194.98	Professional		$112.20	$128.82	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $123.03 / $158.49	Facility		$54.95	$123.03	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $199.53	Professional		$54.95	$102.33	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $158.49	Professional		$102.33	$128.82	$158.49