Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $3,311.31 / $3,630.78	Facility		$281.84	$3,311.31	$3,630.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1.00 / $1,258.93 / $4,073.80	Facility	50	$1.00	$1,258.93	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $323.59	Professional		$52.48	$114.82	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $338.84 / $794.33	Professional	50	$158.49	$338.84	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $77.62	Professional		$53.70	$60.26	$77.62
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 $66.07 / $117.49 / $223.87	Professional		$66.07	$117.49	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $218.78	Professional		$102.33	$114.82	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $123.03 / $158.49	Facility		$51.29	$123.03	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $204.17	Professional		$52.48	$102.33	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $158.49	Professional		$100.00	$117.49	$158.49