Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.29 / $212.58 / $1,170.59	Facility		$78.29	$212.58	$1,170.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $76.14 / $233.11	Professional		$45.25	$76.14	$233.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $435.55 / $483.94 / $526.91	Professional	50	$435.55	$483.94	$526.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $42.92 / $58.80	Professional		$42.05	$42.92	$58.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $43.06 / $50.00	Facility		$43.06	$43.06	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $80.78 / $148.03	Professional		$50.60	$80.78	$148.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $101.05 / $134.18	Professional		$78.33	$101.05	$134.18
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 $53.50 / $78.83 / $145.18	Professional		$53.50	$78.83	$145.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $90.08 / $111.02	Professional		$65.18	$90.08	$111.02