Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $7,079.46 / $10,000.00	Facility		$4,677.35	$7,079.46	$10,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $9,772.37 / $11,220.18	Facility	50	$8,128.31	$9,772.37	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,862.09 / $8,709.64	Professional		$977.24	$1,862.09	$8,709.64
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $169.82 / $338.84 / $977.24	Professional	AS	$169.82	$338.84	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $4,365.16	Professional		$1,258.93	$1,445.44	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $8,709.64	Facility		$512.86	$645.65	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,951.21	Professional		$1,230.27	$1,778.28	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $2,570.40	Professional		$1,202.26	$1,348.96	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $4,073.80	Facility		$1,288.25	$2,187.76	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,818.38	Professional		$1,174.90	$1,621.81	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,862.09	Professional		$1,288.25	$1,445.44	$1,862.09