Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $182.51 / $456.40	Facility		$46.00	$182.51	$456.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $41.66 / $104.22	Professional		$21.00	$41.66	$104.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.44 / $46.44 / $46.44	Professional	50	$46.44	$46.44	$46.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $19.97 / $25.36	Professional		$18.57	$19.97	$25.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $42.04 / $72.19	Professional		$21.89	$42.04	$72.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $54.63 / $92.52	Professional		$39.40	$54.63	$92.52
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $45.01 / $84.68	Professional		$32.70	$45.01	$84.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $35.32 / $53.31	Professional		$24.99	$35.32	$53.31