Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.88 / $428.83 / $2,547.14	Facility		$120.88	$428.83	$2,547.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,191.00 / $1,191.00 / $1,191.01	Facility	50	$1,191.00	$1,191.00	$1,191.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.79 / $294.30 / $788.72	Professional		$213.79	$294.30	$788.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $306.77 / $306.77 / $1,199.17	Professional	50	$306.77	$306.77	$1,199.17
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $159.37 / $193.92 / $235.38	Professional	54	$159.37	$193.92	$235.38
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $29.84 / $38.72 / $47.08	Professional	55	$29.84	$38.72	$47.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.70 / $219.67 / $367.81	Professional		$197.70	$219.67	$367.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.26 / $129.72 / $335.55	Facility		$110.26	$129.72	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $277.49 / $509.19	Professional		$190.36	$277.49	$509.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.11 / $287.02 / $400.55	Professional		$237.11	$287.02	$400.55
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $294.00 / $294.00	Facility		$294.00	$294.00	$294.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $272.33 / $458.01	Professional		$217.40	$272.33	$458.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.37 / $227.20 / $287.02	Professional		$219.37	$227.20	$287.02