Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.31 / $751.25 / $1,432.62	Facility		$358.31	$751.25	$1,432.62
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $52.14 / $52.14 / $52.14	Facility	50	$52.14	$52.14	$52.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $30.05 / $91.16	Professional		$19.36	$30.05	$91.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $20.03 / $29.45 / $188.90	Professional	50	$20.03	$29.45	$188.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $30.48 / $75.94	Professional		$24.73	$30.48	$75.94
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 $17.55 / $41.63 / $68.48	Professional		$17.55	$41.63	$68.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $22.56 / $33.84	Professional		$19.07	$22.56	$33.84
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 $24.26 / $42.35 / $59.97	Professional		$24.26	$42.35	$59.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $20.18 / $24.03	Professional		$19.07	$20.18	$24.03