Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.72 / $83.18 / $496.52	Facility		$65.72	$83.18	$496.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $60.49 / $256.00	Professional		$38.34	$60.49	$256.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $73.20 / $121.11	Professional	50	$73.20	$73.20	$121.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $43.22 / $47.96	Professional		$43.22	$43.22	$47.96
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 $39.11 / $65.54 / $123.91	Professional		$39.11	$65.54	$123.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $76.77 / $108.74	Professional		$59.48	$76.77	$108.74
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 $45.75 / $61.57 / $114.83	Professional		$45.75	$61.57	$114.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $68.44 / $84.98	Professional		$54.91	$68.44	$84.98