Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.23 / $2,795.02 / $5,543.43	Facility		$529.23	$2,795.02	$5,543.43
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,511.29 / $6,076.13 / $14,002.40	Facility	50	$3,511.29	$6,076.13	$14,002.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.38 / $537.96 / $1,926.00	Professional		$358.38	$537.96	$1,926.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $409.64 / $439.01 / $557.54	Professional		$409.64	$439.01	$557.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.87 / $1,621.87 / $1,621.87	Facility		$1,621.87	$1,621.87	$1,621.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.73 / $633.19 / $1,334.53	Professional		$415.73	$633.19	$1,334.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.04 / $709.55 / $1,194.36	Professional		$550.04	$709.55	$1,194.36
United Facility/Professional Professional Modifier Low / Median / High Price $396.13 / $557.23 / $978.03	Professional		$396.13	$557.23	$978.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $395.48 / $632.54 / $773.70	Professional		$395.48	$632.54	$773.70