Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $154.88	Professional		$83.18	$107.15	$154.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $169.82 / $660.69	Professional	50	$147.91	$169.82	$660.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $97.72	Professional		$79.43	$87.10	$97.72
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 $72.44 / $104.71 / $194.98	Professional		$72.44	$104.71	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $186.21	Professional		$95.50	$109.65	$186.21
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 $72.44 / $95.50 / $165.96	Professional		$72.44	$95.50	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $138.04	Professional		$79.43	$100.00	$138.04