Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.20 / $807.81 / $3,771.24	Facility		$277.20	$807.81	$3,771.24
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $926.86 / $926.86 / $2,251.14	Facility	50	$926.86	$926.86	$2,251.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.55 / $510.50 / $1,779.87	Professional		$149.55	$510.50	$1,779.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.73 / $203.60 / $284.02	Professional		$188.73	$203.60	$284.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.88 / $746.88 / $746.88	Facility		$746.88	$746.88	$746.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $487.88 / $1,237.10	Professional		$154.46	$487.88	$1,237.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $498.55 / $649.74 / $1,337.86	Professional		$498.55	$649.74	$1,337.86
United Facility/Professional Professional Modifier Low / Median / High Price $538.26 / $817.64 / $1,346.07	Professional		$538.26	$817.64	$1,346.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $498.55 / $573.33 / $708.63	Professional		$498.55	$573.33	$708.63