Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.79 / $1,888.82 / $2,529.75	Facility		$294.79	$1,888.82	$2,529.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $201.60 / $201.60 / $201.60	Facility	50	$201.60	$201.60	$201.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $101.45 / $314.64	Professional		$56.58	$101.45	$314.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.23 / $2,482.80 / $2,482.80	Professional	50	$75.23	$2,482.80	$2,482.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $65.04 / $75.13	Professional		$55.66	$65.04	$75.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $350.97	Facility		$330.00	$339.05	$350.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $113.83 / $241.12	Professional		$59.57	$113.83	$241.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.74 / $131.24 / $193.44	Professional		$101.74	$131.24	$193.44
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 $87.43 / $144.96 / $221.70	Professional		$87.43	$144.96	$221.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.74 / $117.00 / $144.96	Professional		$101.74	$117.00	$144.96