Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $575.44	Professional		$104.71	$162.18	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $645.65 / $1,023.29	Professional	50	$213.80	$645.65	$1,023.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $147.91	Professional		$107.15	$120.23	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $81.28 / $645.65	Facility		$50.12	$81.28	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $346.74	Professional		$109.65	$190.55	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $295.12	Professional		$158.49	$186.21	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $123.03 / $158.49	Facility		$102.33	$123.03	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $295.12	Professional		$100.00	$169.82	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $257.04	Professional		$107.15	$199.53	$257.04