Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $69.76 / $204.35	Professional		$50.85	$69.76	$204.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $225.04 / $225.04 / $225.04	Professional	50	$225.04	$225.04	$225.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $64.81 / $131.16	Professional		$51.74	$64.81	$131.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $23.12 / $335.55	Facility		$19.64	$23.12	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $76.27 / $122.09	Professional		$42.74	$76.27	$122.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $59.77 / $82.14	Professional		$49.37	$59.77	$82.14
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 $51.85 / $72.61 / $120.28	Professional		$51.85	$72.61	$120.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $51.97 / $59.77	Professional		$50.06	$51.97	$59.77