Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $78.78 / $7,545.05	Facility		$0.98	$78.78	$7,545.05
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,083.88 / $2,083.88 / $2,083.88	Facility	50	$2,083.88	$2,083.88	$2,083.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $789.54 / $1,427.72	Professional		$172.78	$789.54	$1,427.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $876.25 / $1,144.56 / $3,192.96	Professional	50	$876.25	$1,144.56	$3,192.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.19 / $201.12 / $255.42	Professional		$194.19	$201.12	$255.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.11 / $430.42 / $1,588.15	Professional		$173.11	$430.42	$1,588.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.52 / $1,071.00 / $1,947.90	Professional		$316.52	$1,071.00	$1,947.90
United Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.53 / $1,084.23 / $1,860.88	Professional		$788.53	$1,084.23	$1,860.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $684.38 / $684.38 / $1,174.77	Professional		$684.38	$684.38	$1,174.77