Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.00 / $306.37 / $3,904.45	Facility		$276.00	$306.37	$3,904.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $51.86 / $51.86 / $17,144.09	Facility	50	$51.86	$51.86	$17,144.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.71 / $3,145.75 / $4,219.64	Professional		$249.71	$3,145.75	$4,219.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,615.42 / $5,896.19 / $5,896.19	Professional	50	$5,615.42	$5,896.19	$5,896.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $267.89 / $270.64 / $309.33	Professional		$267.89	$270.64	$309.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,279.09 / $3,279.09 / $3,279.09	Facility		$3,279.09	$3,279.09	$3,279.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $2,762.65 / $7,378.35	Professional		$263.45	$2,762.65	$7,378.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,076.36 / $4,062.71 / $8,040.52	Professional		$3,076.36	$4,062.71	$8,040.52
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 $3,290.02 / $4,851.64 / $7,881.92	Professional		$3,290.02	$4,851.64	$7,881.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,076.36 / $3,537.81 / $4,352.12	Professional		$3,076.36	$3,537.81	$4,352.12