Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.55 / $1,335.97 / $1,335.97	Facility		$159.55	$1,335.97	$1,335.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.80 / $360.72 / $970.69	Professional		$243.80	$360.72	$970.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,447.97 / $1,518.04 / $1,696.41	Professional	50	$1,447.97	$1,518.04	$1,696.41
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $171.39 / $224.76 / $290.52	Professional	54	$171.39	$224.76	$290.52
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $34.28 / $44.95 / $58.10	Professional	55	$34.28	$44.95	$58.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.10 / $252.01 / $433.24	Professional		$251.10	$252.01	$433.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.29 / $179.16 / $335.55	Facility		$152.29	$179.16	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.67 / $325.49 / $528.87	Professional		$216.67	$325.49	$528.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.13 / $348.78 / $489.62	Professional		$288.13	$348.78	$489.62
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 $263.82 / $345.28 / $596.05	Professional		$263.82	$345.28	$596.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.91 / $284.67 / $348.78	Professional		$251.91	$284.67	$348.78