Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $51.29 / $16,982.44 / $16,982.44	Facility	50	$51.29	$16,982.44	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $2,884.03 / $5,623.41	Professional		$251.19	$2,884.03	$5,623.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,623.41 / $7,413.10 / $14,791.08	Professional	50	$5,623.41	$7,413.10	$14,791.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $316.23	Professional		$234.42	$263.03	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $2,454.71 / $6,456.54	Professional		$275.42	$2,454.71	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $6,918.31	Professional		$2,754.23	$3,630.78	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $2,570.40 / $6,456.54	Professional		$239.88	$2,570.40	$6,456.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,168.69 / $5,011.87	Professional		$3,090.30	$4,168.69	$5,011.87