Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,691.53 / $4,897.79	Facility		$512.86	$2,691.53	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,548.13 / $3,548.13 / $14,125.38	Facility	50	$3,548.13	$3,548.13	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $1,659.59	Professional		$371.54	$645.65	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $562.34	Professional		$398.11	$446.68	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,318.26	Professional		$407.38	$630.96	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $933.25	Professional		$524.81	$707.95	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $954.99	Professional		$346.74	$524.81	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $870.96	Professional		$398.11	$776.25	$870.96