Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.02 / $5,300.82 / $8,815.17	Facility		$53.02	$5,300.82	$8,815.17
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,263.09 / $5,263.09 / $5,263.09	Facility	22	$5,263.09	$5,263.09	$5,263.09
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $10,912.08 / $10,912.08 / $11,173.50	Facility	AS	$10,912.08	$10,912.08	$11,173.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.52 / $1,334.21 / $7,607.50	Professional		$931.52	$1,334.21	$7,607.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,138.86 / $1,176.01 / $1,802.15	Professional		$1,138.86	$1,176.01	$1,802.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.00 / $728.96 / $3,314.62	Facility		$715.00	$728.96	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.97 / $1,432.25 / $2,834.58	Professional		$1,019.97	$1,432.25	$2,834.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.44 / $1,452.04 / $2,153.96	Professional		$1,122.44	$1,452.04	$2,153.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,003.00 / $1,003.00 / $2,156.00	Facility		$1,003.00	$1,003.00	$2,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $846.56 / $1,244.95 / $2,338.01	Professional		$846.56	$1,244.95	$2,338.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,051.57 / $1,294.45 / $1,591.29	Professional		$1,051.57	$1,294.45	$1,591.29