Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.04 / $158.16 / $250.90	Facility		$150.04	$158.16	$250.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $44.59 / $123.68	Professional		$30.32	$44.59	$123.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.01 / $30.01 / $30.01	Professional	50	$30.01	$30.01	$30.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $33.35 / $42.35	Professional		$33.35	$33.35	$42.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $45.11 / $73.97	Professional		$25.91	$45.11	$73.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $33.40 / $45.92	Professional		$28.94	$33.40	$45.92
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $43.71 / $75.59	Professional		$32.78	$43.71	$75.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $30.61 / $33.28	Professional		$28.94	$30.61	$33.28