Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.80 / $3,174.56 / $6,103.85	Facility		$652.80	$3,174.56	$6,103.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,927.26 / $2,927.26 / $2,927.26	Facility	50	$2,927.26	$2,927.26	$2,927.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.77 / $800.96 / $4,945.70	Professional		$529.77	$800.96	$4,945.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $597.28 / $620.44 / $1,380.84	Professional		$597.28	$620.44	$1,380.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $641.21 / $1,490.90	Facility		$627.00	$641.21	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.88 / $766.06 / $1,244.70	Professional		$527.88	$766.06	$1,244.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.42 / $744.88 / $1,011.05	Professional		$577.42	$744.88	$1,011.05
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 $475.20 / $625.46 / $1,127.59	Professional		$475.20	$625.46	$1,127.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $577.42 / $664.04 / $816.02	Professional		$577.42	$664.04	$816.02