Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $138.04	Professional		$38.02	$47.86	$138.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $87.10 / $87.10	Professional	50	$53.70	$87.10	$87.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $54.95	Professional		$34.67	$38.90	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $91.20	Professional		$32.36	$53.70	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $85.11	Professional		$38.02	$44.67	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Facility		$89.13	$89.13	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $85.11	Professional		$33.88	$50.12	$85.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $54.95	Professional		$33.11	$39.81	$54.95