Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $371.54	Professional		$85.11	$138.04	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $199.53 / $630.96	Professional	50	$112.20	$199.53	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $117.49	Professional		$72.44	$95.50	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $275.42	Professional		$85.11	$144.54	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $213.80	Professional		$114.82	$154.88	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $218.78	Professional		$79.43	$123.03	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $190.55	Professional		$97.72	$169.82	$190.55