Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1.00 / $109.48	Facility		$0.98	$1.00	$109.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $109.49 / $519.96	Professional		$48.59	$109.49	$519.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.93 / $144.97 / $345.71	Professional	50	$69.93	$144.97	$345.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $55.99 / $76.81	Professional		$54.91	$55.99	$76.81
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 $51.05 / $96.45 / $218.51	Professional		$51.05	$96.45	$218.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $145.88 / $244.08	Professional		$113.09	$145.88	$244.08
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $143.68 / $251.37	Professional		$91.53	$143.68	$251.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $130.05 / $161.33	Professional		$95.34	$130.05	$161.33