Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.04 / $409.78 / $808.39	Facility		$31.04	$409.78	$808.39
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $259.35 / $502.72 / $962.34	Facility	50	$259.35	$502.72	$962.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $81.90 / $108.00	Professional		$25.59	$81.90	$108.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.42 / $137.72 / $137.72	Professional	50	$33.42	$137.72	$137.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $22.86 / $25.15	Professional		$10.43	$22.86	$25.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $61.07 / $641.21	Facility		$50.00	$61.07	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $82.15 / $158.21	Professional		$24.35	$82.15	$158.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $116.05 / $181.32	Professional		$89.96	$116.05	$181.32
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 $74.27 / $99.03 / $192.12	Professional		$74.27	$99.03	$192.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $103.45 / $128.52	Professional		$69.02	$103.45	$128.52