Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.75 / $1,049.02 / $4,465.97	Facility		$553.75	$1,049.02	$4,465.97
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.98 / $1,102.99 / $2,808.18	Facility	50	$0.98	$1,102.99	$2,808.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.50 / $839.22 / $2,249.10	Professional		$613.50	$839.22	$2,249.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.10 / $2,571.31 / $4,938.00	Professional	50	$288.10	$2,571.31	$4,938.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $706.80 / $724.64 / $855.23	Professional		$706.80	$724.64	$855.23
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 $691.70 / $1,036.88 / $2,183.98	Professional		$691.70	$1,036.88	$2,183.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $873.63 / $1,161.93 / $1,912.75	Professional		$873.63	$1,161.93	$1,912.75
United Facility/Professional Professional Modifier Low / Median / High Price $738.68 / $1,022.74 / $1,805.71	Professional		$738.68	$1,022.74	$1,805.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $540.46 / $1,004.67 / $1,235.96	Professional		$540.46	$1,004.67	$1,235.96