Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $42.84 / $404.81	Facility		$0.99	$42.84	$404.81
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.99 / $1,162.88 / $1,434.57	Facility	50	$0.99	$1,162.88	$1,434.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.54 / $92.75 / $474.05	Professional		$48.54	$92.75	$474.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.41 / $148.52 / $418.00	Professional	50	$73.41	$148.52	$418.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $55.90 / $131.85	Professional		$55.20	$55.90	$131.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $641.21	Facility		$330.00	$330.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $91.31 / $182.26	Professional		$51.18	$91.31	$182.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $120.90 / $179.05	Professional		$93.58	$120.90	$179.05
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 $74.72 / $113.82 / $192.08	Professional		$74.72	$113.82	$192.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $107.78 / $133.68	Professional		$86.56	$107.78	$133.68