Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $870.26 / $1,236.43	Facility		$276.41	$870.26	$1,236.43
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $559.32 / $1,443.81 / $1,977.21	Facility	50	$559.32	$1,443.81	$1,977.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $192.28 / $532.38	Professional		$100.50	$192.28	$532.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.04 / $412.62 / $2,482.80	Professional	50	$98.04	$412.62	$2,482.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $115.98 / $248.23	Professional		$115.96	$115.98	$248.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $451.23 / $641.21	Facility		$330.00	$451.23	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $197.64 / $388.56	Professional		$107.01	$197.64	$388.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.26 / $256.32 / $390.93	Professional		$198.26	$256.32	$390.93
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 $156.49 / $251.45 / $409.36	Professional		$156.49	$251.45	$409.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $228.50 / $283.23	Professional		$189.42	$228.50	$283.23