Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $89.61 / $256.08	Professional		$53.88	$89.61	$256.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.98 / $59.98 / $59.98	Professional	50	$59.98	$59.98	$59.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $61.63 / $85.45	Professional		$60.28	$61.63	$85.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.23 / $41.23 / $330.00	Facility		$41.23	$41.23	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $107.50 / $226.63	Professional		$57.61	$107.50	$226.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $114.64 / $194.84	Professional		$88.87	$114.64	$194.84
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $126.99 / $220.82	Professional		$74.23	$126.99	$220.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $102.20 / $126.71	Professional		$88.87	$102.20	$126.71