Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.84 / $1,217.04 / $4,352.41	Facility		$165.84	$1,217.04	$4,352.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.98 / $1,201.90 / $4,784.67	Facility	50	$0.98	$1,201.90	$4,784.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $189.05 / $826.68	Professional		$139.41	$189.05	$826.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.09 / $702.24 / $3,640.93	Professional	50	$156.09	$702.24	$3,640.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.64 / $174.61 / $223.50	Professional		$173.64	$174.61	$223.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.21 / $693.21 / $693.21	Facility		$693.21	$693.21	$693.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $220.35 / $409.24	Professional		$156.29	$220.35	$409.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $222.79 / $356.03	Professional		$167.51	$222.79	$356.03
United Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $191.93 / $314.77	Professional		$139.32	$191.93	$314.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.82 / $192.64 / $238.09	Professional		$148.82	$192.64	$238.09