Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,712.28 / $1,712.28 / $1,712.28	Facility		$1,712.28	$1,712.28	$1,712.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $87.28 / $189.26	Professional		$63.24	$87.28	$189.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $600.75 / $600.75 / $600.75	Professional	50	$600.75	$600.75	$600.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $80.08 / $84.62	Professional		$54.03	$80.08	$84.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $47.20 / $335.55	Facility		$40.11	$47.20	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $79.56 / $146.16	Professional		$61.76	$79.56	$146.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $96.77 / $128.24	Professional		$79.94	$96.77	$128.24
United Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $445.00 / $445.00	Facility		$445.00	$445.00	$445.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $77.73 / $153.05	Professional		$61.16	$77.73	$153.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $75.75 / $96.77	Professional		$62.89	$75.75	$96.77