Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $758.58 / $2,511.89	Facility		$275.42	$758.58	$2,511.89
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $562.34 / $1,230.27 / $1,995.26	Facility	50	$562.34	$1,230.27	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $741.31	Professional		$102.33	$208.93	$741.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $346.74 / $1,122.02	Professional	50	$181.97	$346.74	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $251.19	Professional		$104.71	$114.82	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $645.65	Facility		$331.13	$331.13	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $371.54	Professional		$107.15	$194.98	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $371.54	Professional		$208.93	$245.47	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $123.03 / $181.97	Facility		$97.72	$123.03	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $371.54	Professional		$93.33	$181.97	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $309.03	Professional		$190.55	$251.19	$309.03