Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $346.74 / $354.81	Facility		$15.49	$346.74	$354.81
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	50	$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $346.74	Professional		$56.23	$102.33	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $302.00 / $575.44	Professional	50	$109.65	$302.00	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $75.86	Professional		$53.70	$61.66	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $169.82	Professional		$56.23	$85.11	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $158.49	Professional		$89.13	$104.71	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $74.13	Facility		$36.31	$40.74	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $141.25	Professional		$51.29	$79.43	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $131.83	Professional		$72.44	$107.15	$131.83