Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $933.25 / $933.25	Facility		$891.25	$933.25	$933.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	50	$354.81	$354.81	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $794.33	Professional		$112.20	$239.88	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $794.33 / $1,318.26	Professional	50	$199.53	$794.33	$1,318.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $158.49	Professional		$112.20	$125.89	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $331.13	Facility		$162.18	$162.18	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $467.74	Professional		$112.20	$204.17	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $467.74	Professional		$269.15	$323.59	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $123.03 / $239.88	Facility		$109.65	$123.03	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $407.38	Professional		$109.65	$208.93	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $323.59 / $407.38	Professional		$144.54	$323.59	$407.38