Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.90 / $97.72	Professional		$15.85	$30.90	$97.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $67.61 / $85.11 / $239.88	Professional	50	$67.61	$85.11	$239.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.20 / $26.92	Professional		$16.60	$18.20	$26.92
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 $19.05 / $33.11 / $57.54	Professional		$19.05	$33.11	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.88 / $58.88	Professional		$29.51	$33.88	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $37.15 / $47.86	Facility		$16.22	$37.15	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $31.62 / $53.70	Professional		$17.38	$31.62	$53.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $44.67	Professional		$28.18	$33.88	$44.67