Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $378.69 / $417.97	Facility		$50.68	$378.69	$417.97
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $54.22 / $2,492.23 / $13,434.12	Facility	50	$54.22	$2,492.23	$13,434.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.31 / $390.61 / $1,686.58	Professional		$348.31	$390.61	$1,686.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $546.99 / $2,529.86 / $2,723.37	Professional	50	$546.99	$2,529.86	$2,723.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $337.82 / $343.23 / $592.03	Professional		$337.82	$343.23	$592.03
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 $311.91 / $492.28 / $843.96	Professional		$311.91	$492.28	$843.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.18 / $441.80 / $704.38	Professional		$332.18	$441.80	$704.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,229.00 / $2,229.00 / $2,229.00	Facility		$2,229.00	$2,229.00	$2,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.92 / $437.61 / $799.10	Professional		$300.92	$437.61	$799.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.80 / $382.01 / $473.37	Professional		$316.80	$382.01	$473.37