Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.05 / $198.06 / $1,199.03	Facility		$169.05	$198.06	$1,199.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $840.75 / $840.75 / $840.75	Facility	50	$840.75	$840.75	$840.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $220.53 / $688.34	Professional		$128.69	$220.53	$688.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $290.77 / $781.35 / $1,410.00	Professional	50	$290.77	$781.35	$1,410.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $154.22 / $179.39	Professional		$114.10	$154.22	$179.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.96 / $144.96 / $144.96	Facility		$144.96	$144.96	$144.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $226.71 / $437.37	Professional		$135.50	$226.71	$437.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.31 / $270.01 / $469.75	Professional		$209.31	$270.01	$469.75
United Facility/Professional Professional Modifier Low / Median / High Price $169.42 / $241.82 / $397.36	Professional		$169.42	$241.82	$397.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.09 / $240.71 / $296.99	Professional		$175.09	$240.71	$296.99