Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.23 / $580.55 / $1,299.19	Facility		$211.23	$580.55	$1,299.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $79.70 / $241.60	Professional		$55.81	$79.70	$241.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $118.88 / $335.36	Professional	50	$118.88	$118.88	$335.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $47.06 / $82.79	Professional		$47.06	$47.06	$82.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.98 / $43.98 / $50.00	Facility		$43.98	$43.98	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $92.96 / $171.19	Professional		$55.50	$92.96	$171.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $104.28 / $138.63	Professional		$80.84	$104.28	$138.63
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 $63.44 / $92.04 / $160.57	Professional		$63.44	$92.04	$160.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $92.97 / $114.99	Professional		$80.84	$92.97	$114.99