Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.43 / $298.48 / $501.28	Facility		$46.43	$298.48	$501.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $115.55 / $269.83	Professional		$63.18	$115.55	$269.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $241.97 / $241.97 / $241.97	Professional	50	$241.97	$241.97	$241.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.45 / $50.37 / $60.10	Professional	52	$33.45	$50.37	$60.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $72.94 / $90.47	Professional		$64.12	$72.94	$90.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.98 / $107.16 / $186.05	Professional		$63.98	$107.16	$186.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.04 / $134.38 / $230.59	Professional		$100.04	$134.38	$230.59
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 $85.92 / $115.29 / $220.83	Professional		$85.92	$115.29	$220.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $88.50 / $135.34	Professional		$77.48	$88.50	$135.34