Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $47.86 / $199.53	Facility		$0.98	$47.86	$199.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1.00 / $1.00 / $1,096.48	Facility	50	$1.00	$1.00	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $295.12	Professional		$48.98	$89.13	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $162.18 / $489.78	Professional	50	$74.13	$162.18	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $316.23	Professional		$51.29	$56.23	$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 $52.48 / $91.20 / $173.78	Professional		$52.48	$91.20	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $177.83	Professional		$100.00	$117.49	$177.83
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 / $120.23 / $147.91	Professional		$87.10	$120.23	$147.91