Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $134.30 / $351.14	Facility		$15.53	$134.30	$351.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $93.58 / $93.58 / $415.35	Facility	50	$93.58	$93.58	$415.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $85.69 / $297.75	Professional		$53.19	$85.69	$297.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.90 / $159.15 / $523.50	Professional	50	$108.90	$159.15	$523.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $63.01 / $69.31	Professional		$53.22	$63.01	$69.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $42.76 / $330.00	Facility		$42.76	$42.76	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $87.93 / $172.38	Professional		$56.31	$87.93	$172.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.91 / $111.73 / $157.91	Professional		$85.91	$111.73	$157.91
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $41.00 / $128.00	Facility		$36.00	$41.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $83.76 / $162.47	Professional		$57.83	$83.76	$162.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $99.60 / $122.73	Professional		$72.19	$99.60	$122.73