Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $2,308.83 / $7,501.96	Facility		$74.05	$2,308.83	$7,501.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.98 / $1,868.12 / $8,363.10	Facility	50	$0.98	$1,868.12	$8,363.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $319.99 / $1,315.00	Professional		$270.74	$319.99	$1,315.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $217.17 / $1,587.99 / $3,228.94	Professional	50	$217.17	$1,587.99	$3,228.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $278.04 / $280.64 / $501.28	Professional		$278.04	$280.64	$501.28
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 $256.42 / $402.27 / $679.13	Professional		$256.42	$402.27	$679.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.74 / $362.74 / $577.74	Professional		$272.74	$362.74	$577.74
United Facility/Professional Professional Modifier Low / Median / High Price $243.88 / $338.32 / $570.03	Professional		$243.88	$338.32	$570.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.33 / $313.64 / $388.61	Professional		$251.33	$313.64	$388.61