Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,818.08 / $7,562.94 / $10,648.96	Facility		$4,818.08	$7,562.94	$10,648.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,622.40 / $9,822.44 / $11,095.92	Facility	50	$7,622.40	$9,822.44	$11,095.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,470.65 / $1,470.65 / $1,470.65	Facility	54	$1,470.65	$1,470.65	$1,470.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.32 / $1,898.57 / $21,960.00	Professional		$1,154.32	$1,898.57	$21,960.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $180.50 / $340.10 / $882.37	Professional	AS	$180.50	$340.10	$882.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,416.15 / $1,435.53 / $3,565.20	Professional		$1,416.15	$1,435.53	$3,565.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $641.21 / $8,738.29	Facility		$507.00	$641.21	$8,738.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.98 / $1,841.11 / $2,979.34	Professional		$1,232.98	$1,841.11	$2,979.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,339.90 / $1,739.81 / $2,549.39	Professional		$1,339.90	$1,739.81	$2,549.39
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 $1,130.61 / $1,526.78 / $2,913.10	Professional		$1,130.61	$1,526.78	$2,913.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,348.69 / $1,550.99 / $1,904.52	Professional		$1,348.69	$1,550.99	$1,904.52