Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $371.54	Professional		$52.48	$102.33	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $323.59 / $354.81	Professional	50	$60.26	$323.59	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $75.86	Professional		$53.70	$60.26	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $331.13	Facility		$41.69	$41.69	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $218.78	Professional		$64.57	$112.20	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $194.98	Professional		$95.50	$109.65	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $123.03 / $158.49	Facility		$52.48	$123.03	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $173.78	Professional		$52.48	$93.33	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $138.04	Professional		$89.13	$109.65	$138.04