Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $40.42 / $49.90	Facility		$40.04	$40.42	$49.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $40.61 / $53.28	Professional		$30.04	$40.61	$53.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.28 / $144.28 / $288.56	Professional	50	$144.28	$144.28	$288.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $40.15 / $42.37	Professional		$37.84	$40.15	$42.37
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 $30.73 / $40.94 / $87.35	Professional		$30.73	$40.94	$87.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $49.01 / $68.45	Professional		$40.49	$49.01	$68.45
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 $32.29 / $41.17 / $73.89	Professional		$32.29	$41.17	$73.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $37.15 / $49.01	Professional		$32.56	$37.15	$49.01