Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $269.15 / $1,288.25	Facility		$208.93	$269.15	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $354.81	Professional		$53.70	$89.13	$354.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $338.84 / $549.54	Professional	50	$120.23	$338.84	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $74.13	Professional		$43.65	$47.86	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $165.96	Professional		$56.23	$87.10	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $147.91	Professional		$85.11	$97.72	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $72.44	Facility		$36.31	$40.74	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $141.25	Professional		$52.48	$83.18	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $123.03	Professional		$81.28	$97.72	$123.03