Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.88 / $500.94 / $892.37	Facility		$495.88	$500.94	$892.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $470.70 / $470.70 / $888.64	Facility	50	$470.70	$470.70	$888.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.64 / $528.63 / $1,563.13	Professional		$194.64	$528.63	$1,563.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $759.10 / $759.10 / $782.45	Professional	50	$759.10	$759.10	$782.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $202.25 / $231.18	Professional		$199.50	$202.25	$231.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.07 / $1,698.07 / $1,698.07	Facility		$1,698.07	$1,698.07	$1,698.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.04 / $515.16 / $1,071.22	Professional		$188.04	$515.16	$1,071.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.14 / $691.73 / $1,238.89	Professional		$531.14	$691.73	$1,238.89
United Facility/Professional Professional Modifier Low / Median / High Price $463.17 / $636.86 / $1,046.47	Professional		$463.17	$636.86	$1,046.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.54 / $610.80 / $752.73	Professional		$158.54	$610.80	$752.73