Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.76 / $457.05 / $2,001.74	Facility		$86.76	$457.05	$2,001.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $101.32 / $866.24 / $2,228.01	Facility	50	$101.32	$866.24	$2,228.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $172.27 / $463.51	Professional		$86.16	$172.27	$463.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.44 / $301.39 / $1,530.00	Professional	50	$124.44	$301.39	$1,530.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $99.93 / $199.88	Professional		$97.57	$99.93	$199.88
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 $91.99 / $177.28 / $356.95	Professional		$91.99	$177.28	$356.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.14 / $237.17 / $357.44	Professional		$183.14	$237.17	$357.44
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $158.00 / $424.00	Facility		$123.00	$158.00	$424.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.02 / $236.44 / $392.64	Professional		$144.02	$236.44	$392.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.63 / $211.43 / $261.63	Professional		$169.63	$211.43	$261.63