Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.85 / $203.76 / $2,241.48	Facility		$185.85	$203.76	$2,241.48
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.98 / $51.70 / $10,492.98	Facility	50	$0.98	$51.70	$10,492.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $1,670.40 / $2,909.61	Professional		$158.83	$1,670.40	$2,909.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,552.85 / $1,552.85 / $1,552.85	Professional	50	$1,552.85	$1,552.85	$1,552.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.72 / $167.67 / $233.90	Professional		$165.72	$167.67	$233.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,242.24 / $3,242.24 / $3,242.24	Facility		$3,242.24	$3,242.24	$3,242.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.84 / $1,350.75 / $3,889.58	Professional		$163.84	$1,350.75	$3,889.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,638.46 / $2,162.42 / $4,192.27	Professional		$1,638.46	$2,162.42	$4,192.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,726.14 / $2,308.27 / $3,817.21	Professional		$1,726.14	$2,308.27	$3,817.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,638.46 / $1,884.23 / $2,318.04	Professional		$1,638.46	$1,884.23	$2,318.04