Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $371.54	Professional		$87.10	$125.89	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $575.44 / $831.76	Professional	50	$524.81	$575.44	$831.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $154.88	Professional		$70.79	$125.89	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $331.13	Facility		$81.28	$81.28	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $281.84	Professional		$89.13	$138.04	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $257.04	Professional		$158.49	$181.97	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $120.23	Facility		$36.31	$40.74	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $229.09	Professional		$77.62	$120.23	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $229.09	Professional		$97.72	$186.21	$229.09