Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $263.03	Facility		$63.10	$100.00	$263.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $56.23 / $208.93 / $1,862.09	Facility	50	$56.23	$208.93	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $138.04	Professional		$33.11	$58.88	$138.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $134.90 / $295.12	Professional	50	$53.70	$134.90	$295.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $29.51 / $42.66 / $95.50	Professional	52	$29.51	$42.66	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $120.23	Professional		$30.90	$34.67	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $104.71	Professional		$33.11	$54.95	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $95.50	Professional		$42.66	$57.54	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $83.18	Professional		$29.51	$47.86	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $75.86	Professional		$43.65	$64.57	$75.86