Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $295.12 / $295.12	Facility		$40.74	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $85.11 / $354.81	Professional		$23.99	$85.11	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $2,454.71 / $2,454.71	Professional	50	$208.93	$2,454.71	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $87.10	Professional		$24.55	$26.92	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Facility		$331.13	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $91.20 / $251.19	Professional		$27.54	$91.20	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $42.66 / $75.86	Professional		$37.15	$42.66	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $123.03 / $158.49	Facility		$23.44	$123.03	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $66.07 / $257.04	Professional		$23.44	$66.07	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $52.48	Professional		$33.88	$42.66	$52.48