Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.38 / $415.35 / $691.52	Facility		$77.38	$415.35	$691.52
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $483.47 / $568.12 / $879.41	Facility	50	$483.47	$568.12	$879.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $105.17 / $348.12	Professional		$57.91	$105.17	$348.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.26 / $308.25 / $648.00	Professional	50	$123.26	$308.25	$648.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $73.90 / $93.85	Professional		$68.01	$73.90	$93.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.53 / $507.00 / $641.21	Facility		$52.53	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $102.60 / $198.87	Professional		$59.28	$102.60	$198.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $132.91 / $187.35	Professional		$102.45	$132.91	$187.35
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 $79.56 / $109.36 / $194.29	Professional		$79.56	$109.36	$194.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $118.50 / $146.36	Professional		$97.57	$118.50	$146.36