Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $275.42 / $407.38	Facility		$1.95	$275.42	$407.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.98 / $0.98 / $1.00	Facility	50	$0.98	$0.98	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $457.09	Professional		$57.54	$107.15	$457.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $177.83 / $489.78	Professional	50	$91.20	$177.83	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $79.43	Professional		$57.54	$64.57	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $645.65	Facility		$331.13	$331.13	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $190.55	Professional		$60.26	$100.00	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $186.21	Professional		$102.33	$120.23	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $91.20	Facility		$36.31	$40.74	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $169.82	Professional		$54.95	$95.50	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $154.88	Professional		$95.50	$123.03	$154.88