Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $94.56 / $190.82	Facility		$30.08	$94.56	$190.82
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $45.16 / $45.16 / $45.16	Facility	50	$45.16	$45.16	$45.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $63.41 / $170.04	Professional		$31.52	$63.41	$170.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $35.43 / $55.00	Professional		$35.43	$35.43	$55.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.25 / $41.25 / $41.25	Facility		$41.25	$41.25	$41.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $64.94 / $159.16	Professional		$32.39	$64.94	$159.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $97.84 / $149.75	Professional		$45.40	$97.84	$149.75
United Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $85.32 / $170.58	Professional		$34.88	$85.32	$170.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $68.06 / $119.55	Professional		$32.04	$68.06	$119.55