Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $265.83 / $772.64	Facility		$95.10	$265.83	$772.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $221.97 / $2,782.29 / $2,782.29	Facility	50	$221.97	$2,782.29	$2,782.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $70.25 / $268.31	Professional		$37.50	$70.25	$268.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $58.52 / $109.79 / $376.50	Professional	50	$58.52	$109.79	$376.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $45.35 / $66.68	Professional		$43.06	$45.35	$66.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $27.48 / $330.00	Facility		$27.48	$27.48	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $64.69 / $120.23	Professional		$39.07	$64.69	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $77.86 / $126.21	Professional		$60.36	$77.86	$126.21
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $63.48 / $115.36	Professional		$45.17	$63.48	$115.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.68 / $69.41 / $85.92	Professional		$55.68	$69.41	$85.92