Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,602.24 / $7,514.44 / $10,531.63	Facility		$4,602.24	$7,514.44	$10,531.63
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,946.95 / $8,494.61 / $12,212.39	Facility	50	$5,946.95	$8,494.61	$12,212.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,193.58 / $2,002.18 / $23,392.00	Professional		$1,193.58	$2,002.18	$23,392.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $158.15 / $354.37 / $855.03	Professional	AS	$158.15	$354.37	$855.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,417.77 / $1,437.89 / $3,425.86	Professional		$1,417.77	$1,437.89	$3,425.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $641.21 / $8,920.93	Facility		$507.00	$641.21	$8,920.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,234.64 / $1,834.54 / $2,980.93	Professional		$1,234.64	$1,834.54	$2,980.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,341.72 / $1,742.16 / $2,424.83	Professional		$1,341.72	$1,742.16	$2,424.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,169.00 / $2,169.00 / $4,028.00	Facility		$2,169.00	$2,169.00	$4,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,093.08 / $1,486.57 / $2,966.09	Professional		$1,093.08	$1,486.57	$2,966.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,350.51 / $1,553.09 / $1,906.97	Professional		$1,350.51	$1,553.09	$1,906.97