Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $1,861.03 / $6,095.53	Facility		$0.99	$1,861.03	$6,095.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $51.64 / $1,525.12 / $5,327.85	Facility	50	$51.64	$1,525.12	$5,327.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.50 / $459.30 / $1,670.00	Professional		$249.50	$459.30	$1,670.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $464.59 / $558.79	Professional		$400.00	$464.59	$558.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.87 / $1,621.87 / $1,621.87	Facility		$1,621.87	$1,621.87	$1,621.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.02 / $638.63 / $1,149.72	Professional		$404.02	$638.63	$1,149.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.11 / $622.59 / $996.91	Professional		$468.11	$622.59	$996.91
United Facility/Professional Professional Modifier Low / Median / High Price $359.07 / $497.33 / $898.92	Professional		$359.07	$497.33	$898.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $353.17 / $538.33 / $657.48	Professional		$353.17	$538.33	$657.48