Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $3,981.07 / $4,466.84	Facility		$1.00	$3,981.07	$4,466.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	50	$1,905.46	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $588.84 / $1,380.38	Professional		$323.59	$588.84	$1,380.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $2,137.96 / $2,137.96	Professional	50	$575.44	$2,137.96	$2,137.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $501.19	Professional		$245.47	$269.15	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $1,000.00	Professional		$263.03	$524.81	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $933.25	Professional		$446.68	$501.19	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $954.99	Professional		$288.40	$512.86	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $676.08	Professional		$426.58	$512.86	$676.08