Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $73.37 / $1,742.80	Facility		$0.98	$73.37	$1,742.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.98 / $92.49 / $861.81	Facility	50	$0.98	$92.49	$861.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $90.79 / $271.95	Professional		$41.87	$90.79	$271.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $57.98 / $258.62 / $502.50	Professional	50	$57.98	$258.62	$502.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $46.67 / $78.23	Professional		$46.04	$46.67	$78.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $42.76 / $330.00	Facility		$42.76	$42.76	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $86.23 / $158.06	Professional		$43.73	$86.23	$158.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $98.72 / $162.96	Professional		$76.53	$98.72	$162.96
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 $63.72 / $96.94 / $153.57	Professional		$63.72	$96.94	$153.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $88.01 / $109.14	Professional		$76.53	$88.01	$109.14