Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $478.63 / $1,584.89	Facility		$93.33	$478.63	$1,584.89
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $338.84 / $724.44 / $1,202.26	Facility	50	$338.84	$724.44	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $263.03 / $1,202.26	Professional		$104.71	$263.03	$1,202.26
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $141.25 / $141.25 / $190.55	Professional	22	$141.25	$141.25	$190.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $407.38 / $1,778.28	Professional	50	$151.36	$407.38	$1,778.28
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $51.29 / $97.72 / $186.21	Professional	53	$51.29	$97.72	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $269.15	Professional		$109.65	$123.03	$269.15
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 $104.71 / $218.78 / $467.74	Professional		$104.71	$218.78	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $467.74	Professional		$269.15	$316.23	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $123.03 / $229.09	Facility		$104.71	$123.03	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $426.58	Professional		$97.72	$213.80	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $398.11	Professional		$239.88	$323.59	$398.11