Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.71 / $583.59 / $1,773.09	Facility		$130.71	$583.59	$1,773.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $341.12 / $851.20 / $2,001.74	Facility	50	$341.12	$851.20	$2,001.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $245.71 / $1,367.66	Professional		$95.36	$245.71	$1,367.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.84 / $442.75 / $2,310.00	Professional	50	$141.84	$442.75	$2,310.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $20.39 / $42.71 / $55.56	Professional	53	$20.39	$42.71	$55.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.47 / $122.74 / $189.70	Professional		$110.47	$122.74	$189.70
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 $104.59 / $217.92 / $483.39	Professional		$104.59	$217.92	$483.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.18 / $325.31 / $436.88	Professional		$252.18	$325.31	$436.88
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 $197.24 / $294.36 / $509.41	Professional		$197.24	$294.36	$509.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $238.48 / $290.01 / $359.16	Professional		$238.48	$290.01	$359.16