Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.41 / $578.79 / $9,398.23	Facility		$285.41	$578.79	$9,398.23
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $51.85 / $1,308.40 / $6,678.89	Facility	50	$51.85	$1,308.40	$6,678.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.52 / $475.77 / $1,265.92	Professional		$249.52	$475.77	$1,265.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.00 / $810.44 / $1,849.31	Professional	50	$131.00	$810.44	$1,849.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $257.33 / $396.54	Professional		$254.59	$257.33	$396.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,558.05 / $2,558.05 / $2,558.05	Facility		$2,558.05	$2,558.05	$2,558.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.11 / $429.71 / $792.03	Professional		$251.11	$429.71	$792.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $454.04 / $585.71 / $1,011.24	Professional		$454.04	$585.71	$1,011.24
United Facility/Professional Professional Modifier Low / Median / High Price $264.74 / $453.01 / $1,020.59	Professional		$264.74	$453.01	$1,020.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.55 / $522.15 / $644.66	Professional		$216.55	$522.15	$644.66