Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.34 / $471.01 / $4,596.34	Facility		$254.34	$471.01	$4,596.34
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,294.40 / $3,676.55 / $5,271.95	Facility	50	$1,294.40	$3,676.55	$5,271.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.92 / $336.50 / $790.52	Professional		$217.92	$336.50	$790.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $315.72 / $315.72 / $315.72	Professional	50	$315.72	$315.72	$315.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $228.72 / $228.72 / $276.75	Professional		$228.72	$228.72	$276.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.88 / $746.88 / $746.88	Facility		$746.88	$746.88	$746.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.10 / $321.05 / $600.20	Professional		$203.10	$321.05	$600.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.81 / $411.26 / $723.60	Professional		$318.81	$411.26	$723.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,240.48 / $3,240.48 / $3,240.48	Facility		$3,240.48	$3,240.48	$3,240.48
United Facility/Professional Professional Modifier Low / Median / High Price $267.77 / $350.65 / $633.29	Professional		$267.77	$350.65	$633.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.21 / $167.21 / $450.12	Professional		$167.21	$167.21	$450.12