Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $275.42 / $794.33	Facility		$63.10	$275.42	$794.33
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $338.84 / $954.99 / $954.99	Facility	50	$338.84	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $251.19	Professional		$38.02	$72.44	$251.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $151.36 / $407.38	Professional	50	$81.28	$151.36	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $147.91	Professional		$37.15	$41.69	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $331.13	Facility		$26.92	$26.92	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $109.65	Professional		$37.15	$57.54	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $69.18 / $102.33	Professional		$60.26	$69.18	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $40.74 / $48.98	Facility		$34.67	$40.74	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $95.50	Professional		$34.67	$54.95	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $87.10	Professional		$54.95	$69.18	$87.10