Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.00 / $1,023.29	Facility		$1.00	$2.00	$1,023.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1.00 / $1,445.44 / $1,445.44	Facility	50	$1.00	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $100.00 / $489.78	Professional		$48.98	$100.00	$489.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $162.18 / $537.03	Professional	50	$72.44	$162.18	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $316.23	Professional		$50.12	$54.95	$316.23
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 $51.29 / $91.20 / $173.78	Professional		$51.29	$91.20	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $173.78	Professional		$95.50	$114.82	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $85.11	Facility		$36.31	$40.74	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $85.11 / $154.88	Professional		$44.67	$85.11	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $144.54	Professional		$87.10	$117.49	$144.54