Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $160.32 / $3,621.45	Facility		$52.60	$160.32	$3,621.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.99 / $0.99 / $2,832.96	Facility	50	$0.99	$0.99	$2,832.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.60 / $96.85 / $290.14	Professional		$52.60	$96.85	$290.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $177.72 / $178.89 / $336.14	Professional	50	$177.72	$178.89	$336.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $60.13 / $87.57	Professional		$59.94	$60.13	$87.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $451.23	Facility		$330.00	$339.05	$451.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $116.88 / $229.51	Professional		$56.18	$116.88	$229.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $130.63 / $222.27	Professional		$101.26	$130.63	$222.27
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 $77.92 / $140.76 / $226.79	Professional		$77.92	$140.76	$226.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $116.45 / $143.97	Professional		$99.90	$116.45	$143.97