Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.40 / $902.40 / $1,514.99	Facility		$902.40	$902.40	$1,514.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $205.73 / $413.25	Professional		$77.04	$205.73	$413.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $116.09 / $630.38 / $630.38	Professional	50	$116.09	$630.38	$630.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $89.02 / $99.70	Professional		$89.02	$89.02	$99.70
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 $81.15 / $178.10 / $411.98	Professional		$81.15	$178.10	$411.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.26 / $291.95 / $392.66	Professional		$225.26	$291.95	$392.66
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 $174.67 / $253.59 / $458.67	Professional		$174.67	$253.59	$458.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.96 / $260.27 / $321.80	Professional		$187.96	$260.27	$321.80