Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $47.16 / $123.03	Professional		$37.88	$47.16	$123.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $115.50 / $115.50 / $115.50	Professional	50	$115.50	$115.50	$115.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $43.21 / $54.88	Professional		$39.29	$43.21	$54.88
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 $33.17 / $55.95 / $97.68	Professional		$33.17	$55.95	$97.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $44.81 / $61.91	Professional		$36.89	$44.81	$61.91
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 $40.17 / $53.39 / $90.52	Professional		$40.17	$53.39	$90.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.83 / $44.65	Professional		$38.54	$38.83	$44.65