Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.77 / $239.84 / $1,241.38	Facility		$197.77	$239.84	$1,241.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $68.18 / $336.30 / $4,360.47	Facility	50	$68.18	$336.30	$4,360.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $126.09 / $317.27	Professional		$97.59	$126.09	$317.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $168.66 / $435.33 / $898.50	Professional	50	$168.66	$435.33	$898.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.64 / $117.85 / $282.14	Professional		$113.64	$117.85	$282.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $65.34 / $641.21	Facility		$50.00	$65.34	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $162.81 / $291.38	Professional		$107.30	$162.81	$291.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.62 / $189.78 / $274.56	Professional		$143.62	$189.78	$274.56
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 $105.41 / $150.38 / $257.95	Professional		$105.41	$150.38	$257.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $169.19 / $205.17	Professional		$127.56	$169.19	$205.17