Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.09 / $745.98 / $2,054.44	Facility		$545.09	$745.98	$2,054.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.99 / $2,764.89 / $4,201.07	Facility	50	$0.99	$2,764.89	$4,201.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.94 / $561.71 / $1,519.90	Professional		$472.94	$561.71	$1,519.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.52 / $819.00 / $2,145.42	Professional	50	$252.52	$819.00	$2,145.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $580.61 / $580.61 / $723.24	Professional		$580.61	$580.61	$723.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.82 / $648.45 / $1,061.54	Professional		$508.82	$648.45	$1,061.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $639.69 / $792.00 / $1,250.47	Professional		$639.69	$792.00	$1,250.47
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.83 / $645.52 / $1,222.84	Professional		$476.83	$645.52	$1,222.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $479.65 / $605.22 / $735.92	Professional		$479.65	$605.22	$735.92