Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $223.22 / $523.16	Facility		$75.31	$223.22	$523.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $70.05 / $70.05 / $70.05	Facility	50	$70.05	$70.05	$70.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $71.69 / $262.64	Professional		$39.45	$71.69	$262.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $35.31 / $48.37	Professional		$34.02	$35.31	$48.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.27 / $72.13 / $133.07	Professional		$41.27	$72.13	$133.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $93.13 / $124.72	Professional		$72.19	$93.13	$124.72
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 $42.69 / $64.13 / $120.83	Professional		$42.69	$64.13	$120.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $83.02 / $102.27	Professional		$61.26	$83.02	$102.27