Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.08 / $232.10 / $2,275.13	Facility		$212.08	$232.10	$2,275.13
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.99 / $54.22 / $18,233.52	Facility	50	$0.99	$54.22	$18,233.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $934.25 / $4,214.43	Professional		$189.24	$934.25	$4,214.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $909.86 / $1,336.65 / $1,404.36	Professional	50	$909.86	$1,336.65	$1,404.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $189.41 / $264.23	Professional		$188.10	$189.41	$264.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,510.02 / $1,510.02 / $1,510.02	Facility		$1,510.02	$1,510.02	$1,510.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.90 / $1,373.33 / $4,439.72	Professional		$186.90	$1,373.33	$4,439.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,665.85 / $2,196.80 / $4,243.76	Professional		$1,665.85	$2,196.80	$4,243.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,840.55 / $3,247.95 / $5,632.50	Professional		$1,840.55	$3,247.95	$5,632.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,665.85 / $1,915.73 / $2,356.73	Professional		$1,665.85	$1,915.73	$2,356.73