Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $294.79 / $294.79	Facility		$40.69	$294.79	$294.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $63.01 / $232.04	Professional		$23.84	$63.01	$232.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,482.80 / $2,482.80 / $2,482.80	Professional	50	$2,482.80	$2,482.80	$2,482.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $27.37 / $103.79	Professional		$27.01	$27.37	$103.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $339.05	Facility		$330.00	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $79.44 / $260.54	Professional		$25.32	$79.44	$260.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $44.16 / $75.59	Professional		$34.22	$44.16	$75.59
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 $29.22 / $64.15 / $304.30	Professional		$29.22	$64.15	$304.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $39.36 / $49.11	Professional		$34.22	$39.36	$49.11