Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $889.76 / $1,178.46	Facility		$0.98	$889.76	$1,178.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $358.80 / $358.80 / $358.80	Facility	50	$358.80	$358.80	$358.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.53 / $207.78 / $601.64	Professional		$113.53	$207.78	$601.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $182.00 / $381.27 / $639.65	Professional	50	$182.00	$381.27	$639.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.58 / $150.34 / $192.63	Professional		$125.58	$150.34	$192.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.63 / $160.63 / $330.00	Facility		$160.63	$160.63	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.46 / $222.16 / $462.83	Professional		$112.46	$222.16	$462.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.63 / $332.34 / $445.73	Professional		$257.63	$332.34	$445.73
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.07 / $261.27 / $482.21	Professional		$180.07	$261.27	$482.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.79 / $296.27 / $366.44	Professional		$144.79	$296.27	$366.44