Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.53 / $140.52 / $167.28	Facility		$110.53	$140.52	$167.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $227.36 / $707.66	Professional		$132.88	$227.36	$707.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $90.00 / $90.00 / $90.00	Professional	50	$90.00	$90.00	$90.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.30 / $150.04 / $171.50	Professional		$126.30	$150.04	$171.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.69 / $162.69 / $162.69	Facility		$162.69	$162.69	$162.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $244.36 / $450.78	Professional		$138.88	$244.36	$450.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.54 / $287.75 / $510.71	Professional		$195.54	$287.75	$510.71
United Facility/Professional Professional Modifier Low / Median / High Price $188.70 / $260.14 / $461.72	Professional		$188.70	$260.14	$461.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.32 / $256.52 / $316.26	Professional		$197.32	$256.52	$316.26