Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.29 / $288.23 / $948.60	Facility		$53.29	$288.23	$948.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $83.54 / $517.67 / $953.14	Facility	50	$83.54	$517.67	$953.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $80.00 / $263.00	Professional		$45.23	$80.00	$263.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.64 / $144.68 / $385.74	Professional	50	$61.64	$144.68	$385.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $52.19 / $101.34	Professional		$50.18	$52.19	$101.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $31.76 / $330.00	Facility		$31.76	$31.76	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $72.75 / $134.93	Professional		$45.86	$72.75	$134.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $87.50 / $144.04	Professional		$67.83	$87.50	$144.04
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 $54.30 / $75.52 / $133.63	Professional		$54.30	$75.52	$133.63
United Facility/Professional Professional Modifier 50 Low / Median / High Price $85.00 / $85.00 / $153.74	Professional	50	$85.00	$85.00	$153.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $78.00 / $96.20	Professional		$66.20	$78.00	$96.20