Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $2.94 / $505.22	Facility		$0.99	$2.94	$505.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.97 / $197.18 / $680.39	Professional		$62.97	$197.18	$680.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.56 / $220.05 / $434.80	Professional	50	$93.56	$220.05	$434.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $73.62 / $101.14	Professional		$69.27	$73.62	$101.14
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 $67.17 / $185.06 / $423.14	Professional		$67.17	$185.06	$423.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.05 / $333.62 / $450.25	Professional		$257.05	$333.62	$450.25
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 $159.16 / $227.36 / $377.12	Professional		$159.16	$227.36	$377.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.36 / $297.41 / $367.22	Professional		$206.36	$297.41	$367.22