Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $193.45 / $568.21	Facility		$0.98	$193.45	$568.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $341.56 / $415.35 / $958.98	Facility	50	$341.56	$415.35	$958.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $62.87 / $251.00	Professional		$37.35	$62.87	$251.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.51 / $133.05 / $376.50	Professional	50	$77.51	$133.05	$376.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $46.17 / $71.75	Professional		$42.55	$46.17	$71.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $27.18 / $330.00	Facility		$27.18	$27.18	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $62.52 / $110.65	Professional		$36.90	$62.52	$110.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $73.34 / $121.18	Professional		$56.86	$73.34	$121.18
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 $45.35 / $58.10 / $110.42	Professional		$45.35	$58.10	$110.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $65.39 / $81.05	Professional		$54.87	$65.39	$81.05