Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.31 / $4,914.93 / $8,931.79	Facility		$892.31	$4,914.93	$8,931.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $422.87 / $6,095.53 / $10,038.49	Facility	50	$422.87	$6,095.53	$10,038.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.09 / $715.62 / $2,611.00	Professional		$525.09	$715.62	$2,611.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $625.00 / $688.30 / $960.18	Professional		$625.00	$688.30	$960.18
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 $538.24 / $952.10 / $2,103.73	Professional		$538.24	$952.10	$2,103.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.49 / $899.76 / $1,490.40	Professional		$697.49	$899.76	$1,490.40
United Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $739.81 / $1,348.83	Professional		$455.72	$739.81	$1,348.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.53 / $802.11 / $979.21	Professional		$524.53	$802.11	$979.21