Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.19 / $339.19 / $339.19	Facility		$339.19	$339.19	$339.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $85.08 / $85.08 / $3,244.77	Facility	50	$85.08	$85.08	$3,244.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $103.09 / $256.82	Professional		$49.58	$103.09	$256.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $41.85 / $555.80 / $830.88	Professional	50	$41.85	$555.80	$830.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $60.34 / $79.31	Professional		$53.53	$60.34	$79.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.59 / $73.59 / $330.00	Facility		$73.59	$73.59	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $112.76 / $231.64	Professional		$54.20	$112.76	$231.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.67 / $151.79 / $202.40	Professional		$117.67	$151.79	$202.40
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $41.00 / $104.09	Facility		$36.00	$41.00	$104.09
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $120.02 / $216.94	Professional		$84.57	$120.02	$216.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $135.32 / $165.54	Professional		$102.20	$135.32	$165.54