Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $860.73 / $860.73 / $860.73	Facility	50	$860.73	$860.73	$860.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $194.05 / $451.74	Professional		$138.22	$194.05	$451.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $324.68 / $324.68 / $324.68	Professional	50	$324.68	$324.68	$324.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $136.94 / $168.45	Professional		$136.28	$136.94	$168.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.09 / $158.93 / $335.55	Facility		$135.09	$158.93	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.13 / $196.79 / $324.63	Professional		$121.13	$196.79	$324.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.52 / $189.47 / $266.22	Professional		$156.52	$189.47	$266.22
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 $142.05 / $193.09 / $345.84	Professional		$142.05	$193.09	$345.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.40 / $189.47	Professional		$138.04	$154.40	$189.47