Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $1,548.82 / $2,884.03	Professional		$123.03	$1,548.82	$2,884.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,187.76 / $2,691.53 / $3,801.89	Professional	50	$2,187.76	$2,691.53	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $151.36	Professional		$112.20	$125.89	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $354.81 / $2,630.27	Professional		$117.49	$354.81	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,019.95	Professional		$1,202.26	$1,584.89	$3,019.95
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 $112.20 / $1,230.27 / $2,630.27	Professional		$112.20	$1,230.27	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,187.76	Professional		$1,288.25	$1,584.89	$2,187.76