Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.80 / $459.80 / $499.18	Facility		$459.80	$459.80	$499.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $72.88 / $165.59	Professional		$50.19	$72.88	$165.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.23 / $108.23 / $108.23	Professional	50	$108.23	$108.23	$108.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $57.26 / $65.91	Professional		$53.20	$57.26	$65.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $66.72 / $124.76	Professional		$45.94	$66.72	$124.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $79.53 / $111.29	Professional		$65.70	$79.53	$111.29
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $66.36 / $126.24	Professional		$56.35	$66.36	$126.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $53.37 / $79.53	Professional		$52.46	$53.37	$79.53