Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.67 / $1,539.67 / $1,539.67	Facility		$1,539.67	$1,539.67	$1,539.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $198.72 / $394.91	Professional		$74.51	$198.72	$394.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $298.08 / $298.85 / $316.17	Professional	50	$298.08	$298.85	$316.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $86.13 / $94.74	Professional		$86.13	$86.13	$94.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.97 / $507.00 / $641.21	Facility		$350.97	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $182.32 / $412.03	Professional		$79.39	$182.32	$412.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.46 / $300.04 / $403.76	Professional		$231.46	$300.04	$403.76
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $158.00 / $424.00	Facility		$123.00	$158.00	$424.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.84 / $242.08 / $423.06	Professional		$163.84	$242.08	$423.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $267.48 / $330.66	Professional		$186.08	$267.48	$330.66