Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,041.74 / $3,801.89	Facility		$707.95	$2,041.74	$3,801.89
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $2,344.23 / $4,466.84	Facility	50	$1,698.24	$2,344.23	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $2,398.83	Professional		$467.74	$691.83	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $1,348.96	Professional		$524.81	$575.44	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,148.15	Professional		$457.09	$630.96	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $912.01	Professional		$512.86	$575.44	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $645.65 / $2,238.72	Facility		$489.78	$645.65	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,047.13	Professional		$398.11	$575.44	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $794.33	Professional		$467.74	$602.56	$794.33