Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.46 / $317.23 / $576.75	Facility		$161.46	$317.23	$576.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $93.32 / $323.14	Professional		$57.03	$93.32	$323.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $650.03 / $650.03 / $650.03	Professional	50	$650.03	$650.03	$650.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $54.64 / $62.84	Professional		$53.89	$54.64	$62.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $55.58	Facility		$50.00	$50.00	$55.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $96.95 / $191.09	Professional		$62.39	$96.95	$191.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $123.38 / $164.08	Professional		$95.64	$123.38	$164.08
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 $66.66 / $99.80 / $176.00	Professional		$66.66	$99.80	$176.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $109.99 / $135.08	Professional		$80.47	$109.99	$135.08