Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.47 / $193.48 / $499.32	Facility		$70.47	$193.48	$499.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $108.79 / $108.79 / $461.96	Facility	50	$108.79	$108.79	$461.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $145.00 / $400.68	Professional		$116.63	$145.00	$400.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $222.84 / $658.87 / $993.59	Professional	50	$222.84	$658.87	$993.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $167.29 / $229.19	Professional		$136.27	$167.29	$229.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.81 / $74.81 / $330.00	Facility		$74.81	$74.81	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.24 / $178.81 / $303.39	Professional		$116.24	$178.81	$303.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $186.06 / $275.39	Professional		$144.22	$186.06	$275.39
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $159.72 / $270.19	Professional		$112.11	$159.72	$270.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $165.86 / $203.70	Professional		$144.22	$165.86	$203.70