Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $149.91 / $643.72	Facility		$30.57	$149.91	$643.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $192.42 / $374.80 / $677.78	Facility	50	$192.42	$374.80	$677.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $48.96 / $119.26	Professional		$25.56	$48.96	$119.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $355.50 / $355.50 / $355.50	Professional	50	$355.50	$355.50	$355.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $30.49 / $42.36	Professional		$29.84	$30.49	$42.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.09 / $39.09 / $50.00	Facility		$39.09	$39.09	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $60.80 / $117.60	Professional		$28.42	$60.80	$117.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $84.26 / $112.67	Professional		$65.31	$84.26	$112.67
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 $44.71 / $63.39 / $119.15	Professional		$44.71	$63.39	$119.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.73 / $75.12 / $92.94	Professional		$45.73	$75.12	$92.94