Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.56 / $2,063.10 / $3,160.72	Facility		$869.56	$2,063.10	$3,160.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,683.78 / $2,335.69 / $4,486.12	Facility	50	$1,683.78	$2,335.69	$4,486.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.94 / $542.97 / $3,091.04	Professional		$438.94	$542.97	$3,091.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $566.12 / $590.98 / $981.66	Professional		$566.12	$590.98	$981.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.44 / $1,335.00 / $1,362.19	Facility		$791.44	$1,335.00	$1,362.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.26 / $651.83 / $1,175.55	Professional		$460.26	$651.83	$1,175.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.73 / $709.15 / $931.66	Professional		$549.73	$709.15	$931.66
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.50 / $573.36 / $1,054.86	Professional		$396.50	$573.36	$1,054.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $466.18 / $632.19 / $777.59	Professional		$466.18	$632.19	$777.59