Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $346.74 / $1,174.90	Facility		$131.83	$346.74	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $309.03	Professional		$48.98	$91.20	$309.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $323.59 / $524.81	Professional	50	$117.49	$323.59	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $165.96	Professional		$39.81	$44.67	$165.96
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 $48.98 / $75.86 / $151.36	Professional		$48.98	$75.86	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $147.91	Professional		$87.10	$100.00	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $67.61	Facility		$36.31	$40.74	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $125.89	Professional		$43.65	$69.18	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $125.89	Professional		$64.57	$100.00	$125.89