Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $407.38 / $2,290.87	Facility		$56.23	$407.38	$2,290.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $102.33 / $691.83 / $2,884.03	Facility	50	$102.33	$691.83	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $190.55 / $645.65	Professional		$85.11	$190.55	$645.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $302.00 / $1,023.29	Professional	50	$125.89	$302.00	$1,023.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $199.53	Professional		$89.13	$100.00	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $446.68 / $645.65	Facility		$331.13	$446.68	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $338.84	Professional		$91.20	$173.78	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $346.74	Professional		$190.55	$229.09	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $123.03 / $165.96	Facility		$83.18	$123.03	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $338.84	Professional		$75.86	$162.18	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $288.40	Professional		$169.82	$234.42	$288.40