Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.68 / $269.54 / $1,149.88	Facility		$122.68	$269.54	$1,149.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $168.10 / $865.66 / $1,652.78	Facility	50	$168.10	$865.66	$1,652.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $121.12 / $389.00	Professional		$90.54	$121.12	$389.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $38.15 / $272.64 / $782.73	Professional	50	$38.15	$272.64	$782.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.97 / $115.40 / $208.15	Professional		$100.97	$115.40	$208.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.40 / $58.12 / $335.55	Facility		$49.40	$58.12	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $123.86 / $267.01	Professional		$85.14	$123.86	$267.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $133.07 / $185.34	Professional		$109.92	$133.07	$185.34
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $162.87 / $232.67	Professional		$91.50	$162.87	$232.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $99.41 / $133.07	Professional		$98.66	$99.41	$133.07