Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $161.35 / $252.91	Facility		$68.09	$161.35	$252.91
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $117.76 / $117.76 / $117.76	Facility	50	$117.76	$117.76	$117.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $152.97 / $379.00	Professional		$55.30	$152.97	$379.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.00 / $568.50 / $1,185.40	Professional	50	$126.00	$568.50	$1,185.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $62.56 / $74.16	Professional		$53.66	$62.56	$74.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $128.59 / $285.83	Professional		$57.03	$128.59	$285.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.12 / $209.13 / $368.32	Professional		$162.12	$209.13	$368.32
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $147.43 / $356.16	Professional		$91.59	$147.43	$356.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $186.44 / $229.62	Professional		$75.45	$186.44	$229.62