Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.88 / $3,354.74 / $5,350.90	Facility		$645.88	$3,354.74	$5,350.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,548.72 / $4,548.72 / $7,690.26	Facility	50	$4,548.72	$4,548.72	$7,690.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.58 / $592.00 / $2,065.90	Professional		$406.58	$592.00	$2,065.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $452.05 / $486.84 / $612.44	Professional		$452.05	$486.84	$612.44
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 $457.68 / $703.84 / $1,481.30	Professional		$457.68	$703.84	$1,481.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $606.80 / $782.78 / $1,315.03	Professional		$606.80	$782.78	$1,315.03
United Facility/Professional Professional Modifier Low / Median / High Price $437.72 / $661.24 / $1,073.16	Professional		$437.72	$661.24	$1,073.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $438.40 / $697.83 / $852.93	Professional		$438.40	$697.83	$852.93