Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $3,090.30	Facility		$331.13	$331.13	$3,090.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	50	$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $323.59	Professional		$112.20	$151.36	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $331.13 / $1,096.48	Professional	50	$169.82	$331.13	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $144.54	Professional		$89.13	$128.82	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $83.18	Facility		$50.12	$50.12	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $288.40	Professional		$97.72	$128.82	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $263.03	Professional		$134.90	$154.88	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Facility		$89.13	$89.13	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $229.09	Professional		$87.10	$117.49	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $194.98	Professional		$100.00	$141.25	$194.98