Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $380.40 / $703.04	Facility		$0.98	$380.40	$703.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $244.18 / $736.00 / $2,138.67	Facility	50	$244.18	$736.00	$2,138.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.49 / $178.34 / $472.89	Professional		$112.49	$178.34	$472.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.62 / $133.76 / $494.02	Professional	50	$42.62	$133.76	$494.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $137.86 / $144.91	Professional		$95.28	$137.86	$144.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $90.22	Facility		$50.00	$50.00	$90.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $141.94 / $259.17	Professional		$105.22	$141.94	$259.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.10 / $169.59 / $238.80	Professional		$140.10	$169.59	$238.80
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 $112.70 / $145.19 / $297.42	Professional		$112.70	$145.19	$297.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $128.35 / $169.59	Professional		$116.51	$128.35	$169.59