Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $86.55 / $284.58	Professional		$43.73	$86.55	$284.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $461.95 / $461.95 / $484.30	Professional	50	$461.95	$461.95	$484.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $50.61 / $119.73	Professional		$50.61	$50.61	$119.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $47.64 / $330.00	Facility		$47.64	$47.64	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $107.81 / $184.69	Professional		$46.86	$107.81	$184.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.22 / $108.64 / $179.73	Professional		$84.22	$108.64	$179.73
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $114.21 / $194.35	Professional		$61.33	$114.21	$194.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $96.85 / $119.40	Professional		$76.66	$96.85	$119.40