Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.30 / $240.30 / $240.30	Facility		$240.30	$240.30	$240.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $111.60 / $332.23	Professional		$52.66	$111.60	$332.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $174.53 / $174.53 / $174.53	Professional	50	$174.53	$174.53	$174.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.56 / $60.55 / $109.30	Professional		$59.56	$60.55	$109.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $330.00	Facility		$66.58	$66.58	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $125.23 / $233.08	Professional		$56.60	$125.23	$233.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.24 / $146.08 / $225.54	Professional		$113.24	$146.08	$225.54
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 $93.70 / $133.22 / $234.44	Professional		$93.70	$133.22	$234.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.24 / $130.22 / $161.30	Professional		$113.24	$130.22	$161.30