Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $207.22 / $857.00	Professional		$76.48	$207.22	$857.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.00 / $297.12 / $490.88	Professional	50	$138.00	$297.12	$490.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.92 / $80.87 / $92.43	Professional		$79.92	$80.87	$92.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $73.56 / $73.56	Facility		$73.56	$73.56	$73.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $223.46 / $476.84	Professional		$77.62	$223.46	$476.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.98 / $323.64 / $575.90	Professional		$220.98	$323.64	$575.90
United Facility/Professional Professional Modifier Low / Median / High Price $168.92 / $252.12 / $431.21	Professional		$168.92	$252.12	$431.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.31 / $288.52 / $355.05	Professional		$176.31	$288.52	$355.05