Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.69 / $258.92 / $486.26	Facility		$80.69	$258.92	$486.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $187.43 / $546.90	Professional		$66.69	$187.43	$546.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $709.34 / $709.34 / $709.34	Professional	50	$709.34	$709.34	$709.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $67.81 / $94.72	Professional		$67.81	$67.81	$94.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.63 / $75.63 / $75.63	Facility		$75.63	$75.63	$75.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $180.04 / $425.21	Professional		$68.05	$180.04	$425.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $272.73 / $422.78	Professional		$97.36	$272.73	$422.78
United Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $255.73 / $586.62	Professional		$175.41	$255.73	$586.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $185.90 / $328.29	Professional		$72.47	$185.90	$328.29