Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $190.55 / $407.38	Facility		$2.00	$190.55	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $331.13	Professional		$57.54	$97.72	$331.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $263.03 / $524.81	Professional	50	$128.82	$263.03	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $81.28	Professional		$58.88	$66.07	$81.28
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 $56.23 / $95.50 / $173.78	Professional		$56.23	$95.50	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $154.88	Professional		$95.50	$123.03	$154.88