Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.52 / $315.52 / $315.52	Facility		$315.52	$315.52	$315.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $155.51 / $305.57	Professional		$106.69	$155.51	$305.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $406.58 / $406.58 / $406.58	Professional	50	$406.58	$406.58	$406.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $140.94 / $148.87	Professional		$137.91	$140.94	$148.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $78.98 / $335.55	Facility		$67.14	$78.98	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $135.54 / $271.35	Professional		$104.91	$135.54	$271.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $158.75 / $222.42	Professional		$131.13	$158.75	$222.42
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 $98.93 / $125.98 / $247.63	Professional		$98.93	$125.98	$247.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $134.78 / $158.75	Professional		$101.12	$134.78	$158.75