Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $144.31 / $276.77	Facility		$39.53	$144.31	$276.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $19.01 / $60.60	Professional		$12.49	$19.01	$60.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $23.46 / $42.53 / $113.83	Professional	50	$23.46	$42.53	$113.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.21 / $8.26 / $38.29	Professional	52	$7.21	$8.26	$38.29
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.88 / $3.30 / $15.32	Professional	53	$2.88	$3.30	$15.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $19.27 / $24.67	Professional		$15.26	$19.27	$24.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $20.20 / $39.77	Professional		$13.57	$20.20	$39.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $21.73 / $36.25	Professional		$16.46	$21.73	$36.25
United Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $17.03 / $28.70	Professional		$11.81	$17.03	$28.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $18.93 / $23.15	Professional		$11.27	$18.93	$23.15