Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $94.34 / $263.18	Facility		$57.28	$94.34	$263.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $61.24 / $94.14 / $1,665.94	Facility	50	$61.24	$94.14	$1,665.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.28 / $55.00 / $164.00	Professional		$33.28	$55.00	$164.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.21 / $129.66 / $274.50	Professional	50	$53.21	$129.66	$274.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $16.64 / $23.07 / $86.50	Professional	52	$16.64	$23.07	$86.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $36.71 / $48.42	Professional		$33.04	$36.71	$48.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $56.82 / $104.74	Professional		$32.29	$56.82	$104.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $65.95 / $107.34	Professional		$49.59	$65.95	$107.34
United Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $59.29 / $114.60	Professional		$42.32	$59.29	$114.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $57.03 / $70.73	Professional		$43.91	$57.03	$70.73