Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.61 / $1,849.84 / $3,089.56	Facility		$381.61	$1,849.84	$3,089.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,498.09 / $2,999.32 / $5,248.54	Facility	50	$2,498.09	$2,999.32	$5,248.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,435.98 / $2,373.16	Professional		$284.02	$1,435.98	$2,373.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $375.77 / $375.77 / $375.77	Professional	50	$375.77	$375.77	$375.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $314.64 / $314.64 / $402.75	Professional		$314.64	$314.64	$402.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.71 / $1,063.55 / $2,928.89	Professional		$336.71	$1,063.55	$2,928.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.02 / $1,928.63 / $2,943.11	Professional		$538.02	$1,928.63	$2,943.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,379.70 / $1,872.62 / $3,157.78	Professional		$1,379.70	$1,872.62	$3,157.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $262.35 / $1,785.77 / $2,312.31	Professional		$262.35	$1,785.77	$2,312.31