Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.32 / $538.88 / $1,335.97	Facility		$355.32	$538.88	$1,335.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.75 / $399.49 / $924.80	Professional		$272.75	$399.49	$924.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $538.35 / $603.69 / $1,034.20	Professional	50	$538.35	$603.69	$1,034.20
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $214.04 / $299.62 / $323.58	Professional	54	$214.04	$299.62	$323.58
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $42.81 / $55.96 / $64.72	Professional	55	$42.81	$55.96	$64.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $308.58 / $333.33 / $350.00	Professional		$308.58	$333.33	$350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $292.36 / $449.41	Facility		$248.50	$292.36	$449.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $335.39 / $596.39	Professional		$259.27	$335.39	$596.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.29 / $391.36 / $510.47	Professional		$323.29	$391.36	$510.47
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 $237.19 / $314.81 / $583.86	Professional		$237.19	$314.81	$583.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $260.35 / $341.14 / $391.36	Professional		$260.35	$341.14	$391.36