Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $129.19 / $253.58	Facility		$44.95	$129.19	$253.58
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $210.11 / $210.11 / $1,285.15	Facility	50	$210.11	$210.11	$1,285.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $115.32 / $333.46	Professional		$49.86	$115.32	$333.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.63 / $647.20 / $902.52	Professional	50	$164.63	$647.20	$902.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $54.83 / $67.22	Professional		$46.99	$54.83	$67.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $99.19 / $207.14	Professional		$49.98	$99.19	$207.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $111.51 / $187.77	Professional		$83.84	$111.51	$187.77
United Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $109.17 / $183.34	Professional		$77.56	$109.17	$183.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $96.42 / $118.89	Professional		$81.84	$96.42	$118.89