Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $891.84 / $1,240.68	Facility		$714.00	$891.84	$1,240.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $758.67 / $919.04 / $959.68	Facility	50	$758.67	$919.04	$959.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $260.00 / $826.00	Professional		$120.18	$260.00	$826.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.84 / $458.28 / $1,702.12	Professional	50	$171.84	$458.28	$1,702.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $143.87 / $197.10	Professional		$129.47	$143.87	$197.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $451.23	Facility		$330.00	$339.05	$451.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.31 / $241.25 / $508.38	Professional		$122.31	$241.25	$508.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.44 / $352.74 / $472.34	Professional		$273.44	$352.74	$472.34
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 $212.15 / $328.84 / $534.47	Professional		$212.15	$328.84	$534.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.58 / $314.45 / $389.53	Professional		$256.58	$314.45	$389.53