Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $6,025.60	Facility		$1,949.84	$1,949.84	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $912.01 / $2,691.53	Professional		$147.91	$912.01	$2,691.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $794.33 / $5,495.41	Professional	50	$371.54	$794.33	$5,495.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $194.98	Professional		$144.54	$162.18	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $776.25 / $1,905.46	Professional		$165.96	$776.25	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,089.30	Professional		$851.14	$1,122.02	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $758.58 / $1,698.24	Professional		$138.04	$758.58	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $1,258.93 / $1,513.56	Professional		$131.83	$1,258.93	$1,513.56