Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $363.08 / $977.24	Facility		$338.84	$363.08	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $851.14	Professional		$295.12	$398.11	$851.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $467.74 / $870.96 / $1,819.70	Professional	50	$467.74	$870.96	$1,819.70
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $338.84 / $489.78 / $489.78	Professional	54	$338.84	$489.78	$489.78
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $44.67 / $61.66 / $66.07	Professional	55	$44.67	$61.66	$66.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $363.08	Professional		$288.40	$323.59	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $446.68	Facility		$251.19	$295.12	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $724.44	Professional		$257.04	$338.84	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $575.44	Professional		$338.84	$389.05	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $426.58	Facility		$295.12	$295.12	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $616.60	Professional		$229.09	$302.00	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $478.63	Professional		$263.03	$354.81	$478.63