Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $240.93 / $424.16	Facility		$0.99	$240.93	$424.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $280.36 / $552.14 / $1,863.82	Facility	50	$280.36	$552.14	$1,863.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $173.25 / $506.71	Professional		$70.66	$173.25	$506.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.28 / $275.52 / $659.15	Professional	50	$130.28	$275.52	$659.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $83.54 / $114.45	Professional		$83.54	$83.54	$114.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $641.21	Facility		$50.00	$50.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $166.37 / $367.64	Professional		$81.40	$166.37	$367.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $219.17 / $366.24	Professional		$169.90	$219.17	$366.24
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 $140.72 / $211.96 / $348.17	Professional		$140.72	$211.96	$348.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $195.39 / $241.94	Professional		$168.60	$195.39	$241.94