Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.04 / $475.30 / $1,387.55	Facility		$58.04	$475.30	$1,387.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $146.94 / $435.33	Professional		$48.36	$146.94	$435.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.57 / $17.57 / $17.57	Professional	50	$17.57	$17.57	$17.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $50.60 / $68.95	Professional		$50.60	$50.60	$68.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.87 / $208.87 / $208.87	Facility		$208.87	$208.87	$208.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $149.43 / $341.05	Professional		$50.02	$149.43	$341.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $191.74 / $292.76	Professional		$70.67	$191.74	$292.76
United Facility/Professional Professional Modifier Low / Median / High Price $127.57 / $177.62 / $314.81	Professional		$127.57	$177.62	$314.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $143.37 / $230.80	Professional		$52.62	$143.37	$230.80