Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $1,230.27	Facility		$602.56	$912.01	$1,230.27
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $758.58 / $912.01 / $954.99	Facility	50	$758.58	$912.01	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $269.15 / $977.24	Professional		$125.89	$269.15	$977.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $1,096.48 / $2,137.96	Professional	50	$288.40	$1,096.48	$2,137.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $302.00	Professional		$128.82	$144.54	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $446.68	Facility		$331.13	$338.84	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $512.86	Professional		$125.89	$239.88	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $501.19	Professional		$295.12	$338.84	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $123.03 / $245.47	Facility		$112.20	$123.03	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $457.09	Professional		$114.82	$234.42	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $436.52	Professional		$257.04	$346.74	$436.52