Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $331.13 / $2,398.83	Facility		$162.18	$331.13	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $194.98 / $562.34	Professional		$77.62	$194.98	$562.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $257.04 / $1,096.48	Professional	50	$141.25	$257.04	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $120.23	Professional		$77.62	$93.33	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $446.68	Facility		$331.13	$338.84	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $407.38	Professional		$79.43	$177.83	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $426.58	Professional		$245.47	$295.12	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $208.93	Facility		$77.62	$123.03	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $165.96 / $371.54	Professional		$70.79	$165.96	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.12 / $371.54	Professional		$177.83	$295.12	$371.54