Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $83.18 / $251.19	Facility		$66.07	$83.18	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $269.15	Professional		$40.74	$81.28	$269.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $107.15 / $194.98	Professional	50	$72.44	$107.15	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $50.12	Professional		$37.15	$40.74	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $331.13	Facility		$27.54	$27.54	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $123.03	Professional		$40.74	$63.10	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $109.65	Professional		$60.26	$70.79	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $52.48	Facility		$36.31	$40.74	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $100.00	Professional		$37.15	$56.23	$100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $91.20	Professional		$54.95	$74.13	$91.20